Individual
JEFFREY MOHR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
BUILDING 301 ANDREWS AVENUE, LYSTER ARMY HEALTH CLINIC, FORT RUCKER, AL 36362-5333
(334) 255-7169
Mailing address
BUILDING 301 ANDREWS AVENUE, LYSTER ARMY HEALTH CLINIC, FORT RUCKER, AL 36362-5333
(334) 255-7169
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
PTA 19511
FL
225200000X
Physical Therapy Assistant
PTA0000002483
TN
225200000X
Physical Therapy Assistant
PTA002697
GA
225200000X
Physical Therapy Assistant
Primary
PTA6816
AL
Other
Enumeration date
12/08/2011
Last updated
06/22/2017
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