TRAVIS MOODY

WEST MEMPHIS, AR
NPI1780993675
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: AR  2272)
Enumeration Date2010-09-27
Last Update Date2010-09-27
Business Address
TRAVIS MOODY PTA
620 THOMPSON AVE
WEST MEMPHIS, AR 72301-3257
Phone number: 870-702-4911
Mailing Address
TRAVIS MOODY PTA
620 THOMPSON AVE
WEST MEMPHIS, AR 72301-3257
Phone number: 870-702-4911
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