| NPI | 1578142527 |
|---|---|
| Former Name | SAVANNAH-RAE MOLINA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: HI PT5674) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1342493) |
| 225100000X Physical Therapist (Licence: CT 13724) | |
| Enumeration Date | 2021-04-06 |
| Last Update Date | 2023-05-02 |