Individual
MRS. JACQUELYN LOREE MOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.T.A.
Contact information
Practice address
826 WINDSOR CASTLE RD, HAMBURG, PA 19526-8407
(610) 562-1426
Mailing address
826 WINDSOR CASTLE RD, HAMBURG, PA 19526-8407
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE000772L
PA
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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