Maryalice Moulder, PTA
NPI #1083950786 in Rehoboth Beach, Delaware
Provider Information
- NPI Number
- 1083950786
- Entity Type
- Individual
- Name
- Maryalice Moulder, PTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Dec 27, 2012
- Last Updated
- Dec 27, 2012
Practice Location
- Address
- 37513 BAY HARBOR DR
- City
- Rehoboth Beach
- State
- Delaware
- ZIP Code
- 19971-1584
- Phone
- (302) 367-6699
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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