Individual
EMILY J MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
10905 COTTONWOOD LN, OMAHA, NE 68164-3715
(402) 657-3299
Mailing address
10905 COTTONWOOD LN, OMAHA, NE 68164-3715
(402) 657-3299
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1975
NE
Other
Enumeration date
11/12/2006
Last updated
07/08/2007
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