Nathan Moodley Valid NPI
Individual provider · Physical Therapist · Walton, NY
- NPI
- 1629542238
- Type
- Individual (Type 1)
- Primary specialty
- Physical Therapist
- Specialty group
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy code
- 225100000X
- License number
- 018939 (NY)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2019-01-16
- Last updated
- 2019-01-16
Practice location
1 Titus Pl
Walton, NY 13856-1457
(607) 865-2155