Individual
GINA KAY MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
510 W 1ST ST, DELPHOS, OH 45833-1835
(419) 302-7561
Mailing address
510 W 1ST ST, DELPHOS, OH 45833-1835
(419) 302-7561
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT011946
OH
Other
Enumeration date
11/06/2007
Last updated
12/15/2015
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