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Individual

ERIN C MOODY

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
OTRL

Contact information

Practice address
5006 COPPER NE, ALBUQUERQUE, NM 87108
(505) 268-7988
(505) 268-8021
Mailing address
1208 MONROE NE, ALBUQUERQUE, NM 87110
(505) 255-4881

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
063
NM

Other

Enumeration date
01/23/2006
Last updated
07/08/2007
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