Individual
JANNA MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
51 WOODCROSS DR, COLUMBIA, SC 29212-2350
(803) 732-0300
Mailing address
51 WOODCROSS DR, COLUMBIA, SC 29212-2350
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3239
SC
Other
Enumeration date
03/02/2022
Last updated
03/02/2022
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