Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251S0007X | Physical Therapist - Sports | 1323501 | TX |
NPI | 1013567825 |
---|---|
Provider Name | Meghan Molitor |
First Address | The Woodlands, TX 77380-1449 |
Second Address | The Woodlands, TX 77380-1449 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/09/2019 |
Last Update Date | 13/09/2019 |