Berry, Molly

Berry, Molly is an individual health care provider with primary practice located at 343 Winding Woods Ctr , O Fallon MO 63366. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Berry, Molly can be contacted via phone (636) 439-2004.

Contact Information

Primary practice address
343 Winding Woods Ctr O Fallon MO 63366
Fax: (636) 439-2054
Website:

Profile Details

NPI number 1205357001
LBN Legal business name Berry, Molly
Credentials PT, DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2017
Last updated Jul 21st, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205357001 NPPES
Arizona Other 13101 LICENSE

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