Most Relevant Information
Provider Data
| NPI Number: | 1003452459 |
| Provider Name: | MOLLY LARSON PEICHEL DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/20/2019 |
| Last Updated: | 01/04/2022 |
Provider Practice Location
12045 SE STANLEY AVE
MILWAUKIE
OR
972222938
Practice Location Phone/Fax
| Phone: | 5036592323 |
| Fax: |
Provider Mailing Location
12045 SE STANLEY AVE
MILWAUKIE
OR
972222938
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |