Individual
ANNE MOODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16360 ROSCOE BLVD FL 2, VAN NUYS, CA 91406-1219
(818) 901-4830
Mailing address
7909 TOPANGA CANYON BLVD, APT. 215, CANOGA PARK, CA 91304-4701
(310) 710-4376
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
11/05/2016
Last updated
11/15/2016
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