Individual
MS. ANNETTE LOUISE MOYER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
7171 BERNVILLE RD, BERNVILLE, PA 19506-8624
(610) 488-7854
(610) 488-8215
Mailing address
3405 POINCIANA AVE, READING, PA 19605-1562
(610) 929-5948
(610) 488-8215
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT000378E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01128401
BLUE CROSS
PA
01
—
468220
BLUE SHIELD
PA
Enumeration date
07/19/2005
Last updated
07/08/2007
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