Individual
MICHAELA MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1045 MARYLAND AVE, HAGERSTOWN, MD 21740-7201
(301) 739-5437
Mailing address
18909 VILLA TER, HAGERSTOWN, MD 21742-5310
(240) 625-3600
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A5619
MD
Other
Enumeration date
02/02/2022
Last updated
02/02/2022
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