Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | 070016244 | IL |
NPI | 1003086372 |
---|---|
Provider Name | Molly Swenson Murgatroyd |
First Address | Chicago, IL 60614-3611 |
Second Address | Chicago, IL 60649-1003 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/03/2008 |
Last Update Date | 16/11/2016 |