MARYALICE MOULDER

REHOBOTH BEACH, DE
NPI1083950786
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: DE  J2-0000142)
Enumeration Date2012-12-27
Last Update Date2012-12-27
Business Address
-- MARYALICE MOULDER PTA
37513 BAY HARBOR DR
REHOBOTH BEACH, DE 19971-1584
Phone number: 302-367-6699
Mailing Address
-- MARYALICE MOULDER PTA
37513 BAY HARBOR DR
REHOBOTH BEACH, DE 19971-1584
Phone number: 302-367-6699