Provider Demographics
NPI:1497906820
Name:REDMAN, MOLLY ANN (LMT)
Entity Type:Individual
Prefix:
First Name:MOLLY
Middle Name:ANN
Last Name:REDMAN
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3930 SUFFOLK DR
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43016-7317
Mailing Address - Country:US
Mailing Address - Phone:614-563-1400
Mailing Address - Fax:
Practice Address - Street 1:3930 SUFFOLK DR
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43016-7317
Practice Address - Country:US
Practice Address - Phone:614-563-1400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-03
Last Update Date:2008-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH33014103225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist