Most Relevant Information
Provider Data
NPI Number: | 1003357336 |
Provider Name: | KERI MORIARITY LAT, MS, ATC |
Entity Type: | Individual |
Taxonomy Code: | 2255A2300X |
Specialty: | Specialist/Technologist |
License Number: | RT004193 |
Most Important Dates
Enumeration Date: | 03/20/2017 |
Last Updated: | 03/20/2017 |
Provider Practice Location
700 COLLEGE PL
BOX 143
WILLIAMSPORT
PA
177015157
Practice Location Phone/Fax
Phone: | 5703214260 |
Fax: |
Provider Mailing Location
1632 GRAMPIAN BLVD
WILLIAMSPORT
PA
177012714
Provider Mailing Phone/Fax
Phone: | |
Fax: |