KRAIG MOULTRIE

OMAHA, NE
NPI1255574059
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: NJ  40QB00258900)
Enumeration Date2009-04-09
Last Update Date2009-04-09
Business Address
Mr. KRAIG MOULTRIE P.T.A.
11623 ARBOR ST
OMAHA, NE 68144-2981
Phone number: 402-334-1919
Mailing Address
Mr. KRAIG MOULTRIE P.T.A.
14 MARSHALL ST APT. 10R
IRVINGTON, NJ 07111-3656
Phone number: 862-754-0275
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