Individual
MRS. MOLLIE L. ALTOBELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.P.T.
Contact information
Practice address
4767 FRANKFORT HIGHWAY, RIDGELEY, WV 26753
(301) 729-3485
(301) 729-0158
Mailing address
4767 FRANKFORT HIGHWAY, RIDGELEY, WV 26753
(304) 290-1602
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
002465
WV
225100000X
Physical Therapist
21834
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1069951
WORKERS COMP
WV
Enumeration date
08/17/2006
Last updated
01/26/2016
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