Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MOLLY JEAN FERMANICH, PTA
ActivePhysical Medicine & Rehabilitation · WESTON, WI
Registration Details
- NPI Number
- 1306611140
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 21, 2023 (2.4565696104668 yrs)
- Last Updated
- Nov 21, 2023
- License
-
4098-19 (WI)
Practice Information
- Address
-
4810 BARBICAN AVEWESTON, WI, 544764186Browse WI providers · Browse ZIP 54476
- Phone
- 7153930400
- Primary Specialty
-
Physical Medicine & Rehabilitation
208100000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.