Doctor Name: | MOLLY MARIE REDDEN |
NPI Number: | 1558629154 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 2595 |
Business Practice Address: | 1200 Providence Rd Wayne, NE - 687871212 |
Business Phone Number: | 4023757937 |
Business Fax Number: | |
Mailing Address: | 1200 Providence Rd, WAYNE |
State: | NE |
Postal Code: | 687871212 |
Phone Number: | 4023757937 |
Fax Number: | |
NPI Enumeration Date: | 05/02/2012 |
NPI Last Update Date: | 05/02/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2595 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |