MRS. Jacey Lynne Mohr, PTA

NPI #1588933386 in Brookfield, Missouri

Provider Information

NPI Number: 1588933386
Entity Type: Individual
Name: MRS. Jacey Lynne Mohr, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Dec 22, 2011
Last Updated: Dec 22, 2011

Practice Location

Address: 116 E PRATT
City: Brookfield
State: Missouri
ZIP Code: 64628
Phone: (660) 258-7402

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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