Individual
SUSAN MOFFITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
106 S NEW MIDDLETOWN RD, MEDIA, PA 19063-5267
(610) 566-1776
Mailing address
106 S NEW MIDDLETOWN RD, MEDIA, PA 19063-5267
(610) 566-1776
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT001662A
PA
Other
Enumeration date
01/16/2019
Last updated
01/16/2019
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