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1609093756
KENT SANDER MOODY
SANTA MONICA, CA
NPI
1609093756
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT 8529)
Enumeration Date
2007-04-19
Last Update Date
2007-07-08
Business Address
Mr. KENT SANDER MOODY M.S., P.T.
427 WILSHIRE BLVD
SANTA MONICA, CA 90401-1409
Phone number: 310-656-8600
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Mailing Address
Mr. KENT SANDER MOODY M.S., P.T.
1427 GRANT ST
SANTA MONICA, CA 90405-1613
Phone number: 310-656-8600
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