Individual
MRS. GRACE T MOODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
2850 COLONY DR, SUGAR LAND, TX 77479-1424
(713) 498-9143
Mailing address
2850 COLONY DR, SUGAR LAND, TX 77479-1424
(713) 498-9143
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2050459
TX
Other
Enumeration date
01/10/2023
Last updated
01/10/2023
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