Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 002513 | KY |
N | 2251N0400X | Physical Therapist - Neurology | 002513 | KY |
NPI | 1356915664 |
---|---|
Provider Name | Gretchen Molinari |
First Address | Louisville, KY 40222-6357 |
Second Address | Louisville, KY 40222-6357 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/05/2021 |
Last Update Date | 20/05/2021 |