Individual
LAURIE MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
5909 N 72ND AVE, GLENDALE, AZ 85303-4705
(623) 293-6808
Mailing address
5909 N 72ND AVE, GLENDALE, AZ 85303-4705
(623) 293-6808
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4105
AZ
Other
Enumeration date
03/20/2008
Last updated
04/17/2026
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