Individual
JUANA KI MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
1690 NEWTOWN LANGHORNE RD, PMB 4006, NEWTOWN, PA 18940-2414
(610) 348-0467
Mailing address
1690 NEWTOWN LANGHORNE RD, PMB 4006, NEWTOWN, PA 18940-2414
(610) 348-0467
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT001215A
PA
Other
Enumeration date
06/01/2009
Last updated
06/01/2015
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