| NPI | 1447413315 |
|---|---|
| Former Name | MEAGAN MOODY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MS PT7685) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P19175) |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2024-02-01 |