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Individual

MR. JAMES L. MOODY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OT

Contact information

Practice address
6800 PARK TEN BLVD, SUITE 246-EAST, SAN ANTONIO, TX 78213-4211
(210) 377-3742
(210) 377-3744
Mailing address
305 NE LOOP 820, BUSINESS TOWER 1 SUITE 200, HURST, TX 76053-7209
(817) 292-8787
(817) 789-6849

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
110644
TX

Other

Enumeration date
11/06/2014
Last updated
11/06/2014
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