CRYSTAL MOODY

MUNSTER, IN
NPI1174253595
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IN  06004884A)
Enumeration Date2022-06-16
Last Update Date2022-06-16
Business Address
CRYSTAL MOODY PTA
10000 COLUMBIA AVE
MUNSTER, IN 46321-4041
Phone number: 219-934-0750
Mailing Address
CRYSTAL MOODY PTA
3691 BALDWIN ST
PORTAGE, IN 46368-3156
Phone number: 121-950-8515