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Molly Lisenby, PT

NPI 1023060001 · on the registry since 2006

Practice

Address
5009 N Executive Dr Ste B
Peoria, IL 61614
Phone
(309) 839-8631
Fax
(855) 579-3536
Clinicians at this address
5

Additional practice sites

  • 719 W Lake Ave, Peoria, IL

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-07-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois