Individual
KELLY MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(253) 460-0172
Mailing address
1100 9TH AVE, SEATTLE, WA 98101-2756
(253) 460-0172
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00004424
WA
Other
Enumeration date
01/09/2014
Last updated
01/09/2014
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