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Individual
TRACY LYNN MOODY CESSNA
Active
Individual
TRACY LYNN MOODY CESSNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
PT019555
PA
2251X0800X
Orthopedic Physical Therapist
Primary
PT.013193
OH
2251X0800X
Orthopedic Physical Therapist
PT005460
KY
Other
Enumeration date
07/21/2009
Last updated
12/31/2013
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