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MARJORIE KEELY MOWBRAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSPT

Contact information

Practice address
36 SARA LN, HANOVER, PA 17331-8670
(717) 372-8748
(717) 646-9995
Mailing address
36 SARA LN, HANOVER, PA 17331-8670
(717) 372-8748

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT015709
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1009347620003
MA PROMISE PROVIDER#
PA
Enumeration date
10/12/2006
Last updated
11/10/2016
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