Susan Pauline Moody, COTAL
Susan Pauline Moody, COTAL is an Occupational Therapy Assistant in Charleston, West Virginia. Licensed in West Virginia. Registered with an NPI since 2007.
- Licensed in
- WV
- In the registry since
- 2007
Practice location Address checks out
699 S Park RdCharleston, WV 25304-2627
Phone: (304) 925-1532
Fax: (304) 925-8018
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Occupational Therapy Assistant (primary) | Taxonomy 224Z00000X · Licence C1358 (WV) |
|---|
Record details
| NPI number | 1598881294 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | COTAL |
| Sole proprietor | No |
| NPI enumerated | March 22, 2007 |
| Last updated in NPPES | July 8, 2007 |
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