ALICE ANN MOULTON

LA GRANDE, OR
NPI1215117981
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: OR  2223)
Enumeration Date2007-11-09
Last Update Date2007-11-09
Business Address
Ms. ALICE ANN MOULTON P.T.
91 ARIES LN
LA GRANDE, OR 97850-3309
Phone number: 541-963-8678
Mailing Address
Ms. ALICE ANN MOULTON P.T.
91 ARIES LN
LA GRANDE, OR 97850-3309
Phone number: 541-963-8678