Provider Demographics
NPI:1386350957
Name:ALBANO, MOLLY J
Entity type:Individual
Prefix:
First Name:MOLLY
Middle Name:J
Last Name:ALBANO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11119 E ALAMEDA AVE UNIT 202
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012-1051
Mailing Address - Country:US
Mailing Address - Phone:303-883-4603
Mailing Address - Fax:
Practice Address - Street 1:11119 E ALAMEDA AVE UNIT 202
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-1051
Practice Address - Country:US
Practice Address - Phone:303-883-4603
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-26
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist