Moulton, Teckla P

Moulton, Teckla P is an individual health care provider with primary practice located at 231 Sutton St Suite 1C, North Andover MA 01845-1620. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Moulton, Teckla P can be contacted via phone (978) 685-8059.

Contact Information

Primary practice address
231 Sutton St Suite 1C North Andover MA 01845-1620
Phone: (978) 685-8059
Fax: (978) 685-6421
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2668 Massachusetts

Profile Details

NPI number 1215070677
LBN Legal business name Moulton, Teckla P
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2007
Last updated Dec 21st, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215070677 NPPES
Massachusetts MEDICAID 0397903
Massachusetts Other MOY65938

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