Mike Lee Moody, PTA

NPI #1043526007 in Miami, Oklahoma

Provider Information

NPI Number
1043526007
Entity Type
Individual
Name
Mike Lee Moody, PTA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
Aug 27, 2010
Last Updated
Aug 27, 2010

Practice Location

Address
1505 E STEVE OWENS BLVD
City
Miami
ZIP Code
74354-7917
Phone
(918) 540-4101

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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