Provider Demographics
NPI:1104042589
Name:BARROW, MOLLIE C (PT)
Entity Type:Individual
Prefix:
First Name:MOLLIE
Middle Name:C
Last Name:BARROW
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:MOLLIE
Other - Middle Name:LYNNE
Other - Last Name:CART
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:278 OAK GROVE RD
Mailing Address - Street 2:
Mailing Address - City:CENTRAL
Mailing Address - State:SC
Mailing Address - Zip Code:29630-8419
Mailing Address - Country:US
Mailing Address - Phone:864-639-5009
Mailing Address - Fax:864-885-7735
Practice Address - Street 1:298 MEMORIAL DR
Practice Address - Street 2:OCONEE MEMORIAL REHAB SERVICES
Practice Address - City:SENECA
Practice Address - State:SC
Practice Address - Zip Code:29672-9443
Practice Address - Country:US
Practice Address - Phone:864-885-7108
Practice Address - Fax:864-885-7735
Is Sole Proprietor?:No
Enumeration Date:2007-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCSC 1185225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist