Jessie Lynn Moore, PTA
NPI #1790155265 in Penndel, Pennsylvania
Provider Information
- NPI Number
- 1790155265
- Entity Type
- Individual
- Name
- Jessie Lynn Moore, PTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Sep 28, 2015
- Last Updated
- Jan 18, 2021
Practice Location
- Address
- 67 CRESCENT ST
- City
- Penndel
- State
- Pennsylvania
- ZIP Code
- 19047-5203
- Phone
- (618) 944-2294
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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