Kristy Lynn Moody
Occupational Therapist - Pediatrics
840 Kennedy Memorial Dr
Oakland
, Maine 04963-4887
Kristy Lynn Moody
Occupational Therapist - Pediatrics
840 Kennedy Memorial Dr
Oakland
, Maine 04963-4887
(207) 716-4002
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About
Features
Specialties
- Occupational Therapist - Pediatrics
Languages spoken
- English
Location
First Address
- Kristy Lynn Moody
- 840 Kennedy Memorial Dr
- Oakland, ME
- Zip : 04963-4887
- Fax : (207) 716-4002
- Phone : (207) 716-1863
Second Address
- Kristy Lynn Moody
- 840 Kennedy Memorial Dr
- Oakland, ME
- Zip : 04963-4887
- Fax : (207) 716-4002
- Phone : (207) 716-1863
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XP0200X | Occupational Therapist - Pediatrics | OT3905 | ME |
National Provider Identifier
| NPI | 1023629763 |
|---|---|
| Provider Name | Kristy Lynn Moody |
| First Address | Oakland, ME 04963-4887 |
| Second Address | Oakland, ME 04963-4887 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/08/2020 |
| Last Update Date | 16/08/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.