Organization
JACKSON THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA MOYER DPT (PHYSICAL THERAPIST)
(610) 737-2524
Entity
Organization
Contact information
Practice address
849 S GUN BARREL LN # LM, UNIT G5, GUN BARREL CITY, TX 75156-9335
(610) 737-2524
Mailing address
849 S GUN BARREL LN # LM, UNIT G5, GUN BARREL CITY, TX 75156-9335
(610) 737-2524
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
1249341
TX
Other
Enumeration date
09/29/2014
Last updated
09/29/2014
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