Individual
CORINNE L MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
100 E MAIN ST, SUITE C, MEDFORD, OR 97501-6041
(541) 789-5526
(541) 789-5203
Mailing address
691 MURPHY RD, SUITE 112, MEDFORD, OR 97504-4346
(541) 789-5252
(541) 789-5269
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
591057
OR
Other
Enumeration date
07/18/2008
Last updated
07/18/2008
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