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1316218589
AMY JO MOODY
LITTLE ROCK, AR
NPI
1316218589
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AR 2575)
Enumeration Date
2012-01-20
Last Update Date
2012-01-20
Business Address
Mrs. AMY JO MOODY PTA
1604 MERRILL DR
LITTLE ROCK, AR 72211-1818
Phone number: 501-217-4995
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Mailing Address
Mrs. AMY JO MOODY PTA
605 RICHARDSON ST
BALD KNOB, AR 72010-3071
Phone number: 501-388-3067
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