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Jana Lynn Moore, PTA

Physical Therapy Assistant in New Smyrna Beach, FL. Individual provider (NPI-1).

NPI number1467669366
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1467669366
Entity type
Individual (NPI-1)
Name
Mrs. Jana Lynn Moore
Credential
PTA
Sex
Female
Sole proprietor
Yes
Enumeration date
May 17, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy AssistantPTA20419FLYes

Practice location

1720 State Road 44
New Smyrna Beach, FL 32168-8339

Phone 386-427-3336

Mailing address

456 Shorewood Ln
New Smyrna Beach, FL 32168-8385

Phone 386-478-0159

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Other Physical Therapy Assistant providers in New Smyrna Beach, FL

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