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1902187214
TEASHA MOODY
HERMITAGE, TN
NPI
1902187214
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: TN 8236)
Enumeration Date
2011-08-31
Last Update Date
2011-08-31
Business Address
TEASHA MOODY
4131 ANDREW JACKSON PKWY VILLA 402
HERMITAGE, TN 37076-2270
Phone number: 615-316-5522
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Mailing Address
TEASHA MOODY
4109 HIGHWAY 98 W
SUMMIT, MS 39666-9132
Phone number:
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