Individual
BRITTANY MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
14391 METROPOLIS AVE # 101-102, FORT MYERS, FL 33912-4423
(239) 561-2778
Mailing address
15910 BAYSIDE POINTE W APT 907, FORT MYERS, FL 33908-6949
(239) 634-5938
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
26101
FL
Other
Enumeration date
03/09/2017
Last updated
03/09/2017
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