Individual
JACKLYN ELIZABETH MOULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
328 E WARWICK DR, ALMA, MI 48801-1014
(989) 466-3275
Mailing address
328 E WARWICK DR, ALMA, MI 48801-1014
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501302695
MI
Other
Enumeration date
09/07/2023
Last updated
09/07/2023
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