Individual
MISS KATHLEEN MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOTR/L
Contact information
Practice address
6080 WILD GINGER CT, COLUMBIA, MD 21044-3680
(301) 741-6225
Mailing address
3620 LITTLEDALE RD, KENSINGTON, MD 20895-3424
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
06793
MD
225X00000X
Occupational Therapist
15525
FL
Other
Enumeration date
01/23/2013
Last updated
11/12/2020
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