Individual
DR. JENNIFER PRATT MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
92 CAMPUS DR STE A, SCARBOROUGH, ME 04074-7229
(207) 885-0011
(207) 885-5851
Mailing address
92 CAMPUS DR STE A, SCARBOROUGH, ME 04074-7229
(207) 885-0011
(207) 885-5851
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
295542
NY
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD29129
ME
208100000X
Physical Medicine & Rehabilitation Physician
T4226
TX
Other
Enumeration date
03/28/2014
Last updated
03/13/2025
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