Individual
MRS. BARBARA GAYLE MOODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
44 IMPERIAL DR W, SAINT PAUL, MN 55118-2221
(651) 455-1031
Mailing address
44 IMPERIAL DR W, SAINT PAUL, MN 55118-2221
(651) 455-1031
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
102762
MN
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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