SUSAN PAULINE MOODY

CHARLESTON, WV
NPI1598881294
Former NameSUSAN PAULINE WARD
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: WV  C1358)
Enumeration Date2007-03-22
Last Update Date2007-07-08
Business Address
-- SUSAN PAULINE MOODY COTAL
699 S PARK RD
CHARLESTON, WV 25304-2627
Phone number: 304-925-1532
Mailing Address
-- SUSAN PAULINE MOODY COTAL
PO BOX 564
SOPHIA, WV 25921-0564
Phone number: 304-683-4867
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