Individual provider · Type 1 NPI

Maryalice Moulder, PTA

Physical Therapy Assistant · Rehoboth Beach, DE

NPI number 1083950786 Active

Practice location

37513 Bay Harbor Dr
Rehoboth Beach, DE 19971-1584

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XJ2-0000142 (DE)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1083950786

Maryalice Moulder, PTA's National Provider Identifier is 1083950786, issued on Dec 27, 2012. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Rehoboth Beach, DE. The record was last updated on Dec 27, 2012.