Individual
ANTOINETTE MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
704 S WASHINGTON ST, MONROE, NC 28112-5570
(704) 282-6259
Mailing address
400 N CHURCH ST, MONROE, NC 28112-4804
(704) 282-6259
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5194
NC
Other
Enumeration date
04/22/2026
Last updated
04/22/2026
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