Individual
BELLA MODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19756 WHEATON DR, CUPERTINO, CA 95014-2458
(408) 964-8313
Mailing address
19756 WHEATON DR, CUPERTINO, CA 95014-2458
(408) 964-8313
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
CA
Other
Enumeration date
07/15/2014
Last updated
07/15/2014
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