Individual
CRYSTAL ELIZABETH MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1656 S JEFFERSON ST, MONTICELLO, FL 32344-1652
(850) 997-1800
Mailing address
1656 S JEFFERSON ST, MONTICELLO, FL 32344-1652
(850) 997-1800
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA14230
FL
Other
Enumeration date
05/13/2021
Last updated
05/13/2021
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