Moody, Elizabeth

Moody, Elizabeth is an individual health care provider with primary practice located at 5709 Poplin Rd , Indian Trail NC 28079-6727. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Moody, Elizabeth can be contacted via phone (704) 628-6136.

Contact Information

Primary practice address
5709 Poplin Rd Indian Trail NC 28079-6727
Phone: (704) 628-6136
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 5280 North Carolina

Profile Details

NPI number 1477637411
LBN Legal business name Moody, Elizabeth
Credentials OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2006
Last updated Dec 20th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1477637411 NPPES
North Carolina Other 5280 NC BOARD OF OT LICENSE #
North Carolina MEDICAID 7301704 NC BOARD OF OT LICENSE #

Popular Providers