Provider Demographics
NPI:1598970824
Name:MOLINA, CINDY J (MSPT)
Entity type:Individual
Prefix:
First Name:CINDY
Middle Name:J
Last Name:MOLINA
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12759 W MONTANA DR
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80228-4242
Mailing Address - Country:US
Mailing Address - Phone:303-996-0389
Mailing Address - Fax:303-996-0390
Practice Address - Street 1:3535 S LAFAYETTE ST
Practice Address - Street 2:#106
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80113-3957
Practice Address - Country:US
Practice Address - Phone:303-996-0389
Practice Address - Fax:303-997-0390
Is Sole Proprietor?:No
Enumeration Date:2007-05-11
Last Update Date:2008-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO8890174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist