Individual
JENNIFER MOULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
277 E MOUNTAIN ST, WORCESTER, MA 01606-1207
(508) 852-2026
(508) 856-7230
Mailing address
277 E MOUNTAIN ST, WORCESTER, MA 01606-1207
(508) 852-2026
(508) 856-7230
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7422
MA
Other
Enumeration date
04/13/2017
Last updated
04/13/2017
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