Provider Demographics
NPI:1669605077
Name:GILBERT, MOLLY ANN (DPT)
Entity type:Individual
Prefix:
First Name:MOLLY
Middle Name:ANN
Last Name:GILBERT
Suffix:
Gender:F
Credentials:DPT
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Mailing Address - Street 1:9097 E DESERT COVE AVE
Mailing Address - Street 2:SUITE 110
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-6710
Mailing Address - Country:US
Mailing Address - Phone:480-860-4298
Mailing Address - Fax:480-860-0356
Practice Address - Street 1:20950 N TATUM BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85050-4200
Practice Address - Country:US
Practice Address - Phone:480-502-5510
Practice Address - Fax:480-538-4862
Is Sole Proprietor?:No
Enumeration Date:2009-09-01
Last Update Date:2022-02-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ86302251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
INDIVIDUAL PTANMedicare PIN
GROUP PRACTICE PTANMedicare PIN