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Molly Lisenby, PT
NPI 1023060001 · on the registry since 2006
Practice
- Address
- 5009 N Executive Dr Ste B
Peoria, IL 61614 - Phone
- (309) 839-8631
- Fax
- (855) 579-3536
- Clinicians at this address
- 5
Additional practice sites
- 719 W Lake Ave, Peoria, IL
Registry record
- Primary taxonomy
- Physical Therapist
225100000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-07-31
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois