Individual
JACLYN M MOYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
208 QUAIL DR, GILBERTSVILLE, PA 19525-8915
(484) 269-3531
Mailing address
208 QUAIL DR, GILBERTSVILLE, PA 19525-8915
(484) 269-3531
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC012174
PA
225XP0200X
Pediatric Occupational Therapist
OC012174
PA
Other
Enumeration date
08/24/2015
Last updated
08/24/2015
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