Individual
MRS. LAURIE LEE FOX MULDOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
235 W LANCASTER AVE, DEVON, PA 19333-1560
(610) 688-8080
Mailing address
235 W LANCASTER AVE, DEVON, PA 19333-1560
(610) 688-8080
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
0054254
NY
225200000X
Physical Therapy Assistant
Primary
TE006851
PA
Other
Enumeration date
01/13/2010
Last updated
01/13/2010
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