Provider Demographics
NPI:1740035658
Name:GEARIN, MOLLY (PT, DPT, CSCS)
Entity type:Individual
Prefix:
First Name:MOLLY
Middle Name:
Last Name:GEARIN
Suffix:
Gender:F
Credentials:PT, DPT, CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2042 BYERS RD
Mailing Address - Street 2:
Mailing Address - City:MIAMISBURG
Mailing Address - State:OH
Mailing Address - Zip Code:45342-1167
Mailing Address - Country:US
Mailing Address - Phone:937-247-5451
Mailing Address - Fax:937-388-8210
Practice Address - Street 1:2042 BYERS RD
Practice Address - Street 2:
Practice Address - City:MIAMISBURG
Practice Address - State:OH
Practice Address - Zip Code:45342-1167
Practice Address - Country:US
Practice Address - Phone:937-247-5451
Practice Address - Fax:937-388-8210
Is Sole Proprietor?:No
Enumeration Date:2024-04-23
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH020098225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist