Individual
EMILY MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1000 WIGGINS PKWY, MESQUITE, TX 75150-7465
(972) 686-3789
Mailing address
8477 S SUNCOAST BLVD, HOMOSASSA, FL 34446-5028
(352) 382-7214
(352) 382-7781
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2153198
TX
Other
Enumeration date
07/22/2021
Last updated
07/22/2021
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