Provider Demographics
NPI:1992958102
Name:CRAMER, MOLLIE BROOKS (MPT)
Entity type:Individual
Prefix:
First Name:MOLLIE
Middle Name:BROOKS
Last Name:CRAMER
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1610 DIME RD
Mailing Address - Street 2:
Mailing Address - City:VANDERGRIFT
Mailing Address - State:PA
Mailing Address - Zip Code:15690-6071
Mailing Address - Country:US
Mailing Address - Phone:724-568-5289
Mailing Address - Fax:
Practice Address - Street 1:885 MACBETH DR
Practice Address - Street 2:
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-3332
Practice Address - Country:US
Practice Address - Phone:412-856-7071
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-31
Last Update Date:2008-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT009700L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist