ADAM JOSEPH MOODY

KANKAKEE, IL
NPI1194237677
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy261QP2000X Clinic/Center, Physical Therapy
(Licence: IL  160006509)
Enumeration Date2017-10-24
Last Update Date2017-10-24
Business Address
Mr. ADAM JOSEPH MOODY PTA
7 DURELL DR
KANKAKEE, IL 60901-6001
Phone number: 000-000-0000
Mailing Address
Mr. ADAM JOSEPH MOODY PTA
7 DURELL DR
KANKAKEE, IL 60901-6001
Phone number:
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