MR. Jeffrey A Mossburg, PTA

NPI #1285870147 in Kokomo, Indiana

Provider Information

NPI Number: 1285870147
Entity Type: Individual
Name: MR. Jeffrey A Mossburg, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Dec 26, 2008
Last Updated: Dec 26, 2008

Practice Location

Address: 2312 S DIXON RD
Address 2: SUITE 250
City: Kokomo
State: Indiana
ZIP Code: 46902-6401
Phone: (765) 455-2122

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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