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Individual

MRS. CAROLINE PAULA MOODY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MASSAGE THERAPIST

Contact information

Practice address
5800 SW 53RD ST, LAKE BUTLER, FL 32054-5316
(386) 496-2023
(386) 496-2023
Mailing address
5800 SW 53RD ST, LAKE BUTLER, FL 32054-5316
(386) 496-2023
(386) 496-2023

Taxonomy

Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA58462
FL

Other

Enumeration date
09/16/2011
Last updated
09/16/2011
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