NPI 1083950786

Maryalice Moulder, PTA

Practitioner Physical Therapy Assistant Rehoboth Beach, DE

Practice location

Address: 37513 Bay Harbor Dr, Rehoboth Beach, DE 19971-1584
Phone: (302) 367-6699

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence J2-0000142 (DE)

Other Physical Therapy Assistant providers in Delaware →

Registry record

NPI: 1083950786
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Dec 2012
Record last updated: 27 Dec 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.