Individual
MS. JOY SUSANNE MOODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1717 INDUSTRIAL DR, FORDYCE, AR 71742-7104
(870) 352-7975
(870) 352-8806
Mailing address
RR 1 BOX 102, THORNTON, AR 71766-9707
(870) 352-8420
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
AT-443
AR
Other
Enumeration date
01/09/2007
Last updated
07/08/2007
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