Individual
BRIAN D. MOODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.A.
Contact information
Practice address
15305 RAYEN ST, NORTH HILLS, CA 91343-5117
(818) 892-3423
(818) 893-4509
Mailing address
15305 RAYEN ST, NORTH HILLS, CA 91343-5117
(818) 892-3423
(818) 893-4509
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
07/28/2009
Last updated
07/30/2009
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