Individual
KATHERINE JEAN MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.P.T.
Contact information
Practice address
1001 SW A AVE, LAWTON, OK 73501-3951
(580) 353-8900
(580) 353-8903
Mailing address
1001 SW A AVE, LAWTON, OK 73501-3951
(580) 353-8900
(580) 353-8903
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT2119
OK
Other
Enumeration date
05/02/2011
Last updated
08/12/2023
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