Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 226300000X | Kinesiotherapist |
NPI | 1063455038 |
---|---|
Provider Name | Dr. Doris A Woods |
First Address | Sylvania, OH 43560-2836 |
Second Address | Toledo, OH 43606-3328 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
34-640148 | TAX ID NUMBER (01) | OH |