Individual
MELISSA MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
111 PROVIDENCE BLVD, MACON, GA 31210-7640
(478) 250-9154
Mailing address
202 COHEN CT, KATHLEEN, GA 31047-2292
(352) 263-3394
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
04/09/2025
Last updated
04/09/2025
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