CAROLYN A MOODY

JONESBORO, AR
NPI1356432439
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
(Licence: AR  PT 819)
Enumeration Date2006-09-27
Last Update Date2007-07-09
Business Address
-- CAROLYN A MOODY PT
151 SOUTHWEST DR
JONESBORO, AR 72401-5828
Phone number: 870-932-5551
Mailing Address
-- CAROLYN A MOODY PT
151 SOUTHWEST DR
JONESBORO, AR 72401-5828
Phone number: 870-932-5551