Provider Demographics
NPI:1285084970
Name:BROWDER, MOLLY (PTH)
Entity type:Individual
Prefix:
First Name:MOLLY
Middle Name:
Last Name:BROWDER
Suffix:
Gender:F
Credentials:PTH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 RICE MINE ROAD LOOP
Mailing Address - Street 2:SUITE 102
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35406-2425
Mailing Address - Country:US
Mailing Address - Phone:205-342-2610
Mailing Address - Fax:205-342-2611
Practice Address - Street 1:100 RICE MINE ROAD LOOP
Practice Address - Street 2:SUITE 102
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35406-2425
Practice Address - Country:US
Practice Address - Phone:205-342-2610
Practice Address - Fax:205-342-2611
Is Sole Proprietor?:No
Enumeration Date:2016-06-14
Last Update Date:2017-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH7909225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist