Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | PTH10295 | AL |
N | 2251X0800X | Physical Therapist - Orthopedic | P14595 | NC |
NPI | 1003237322 |
---|---|
Provider Name | Ms. Autumn Lynn Woods |
First Address | Birmingham, AL 35242-5424 |
Second Address | Mobile, AL 36607-3010 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/01/2014 |
Last Update Date | 06/05/2021 |