DEREK MATTHEW WOOD

NAMPA, ID
NPI1073052635
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  PT-4930)
Enumeration Date2017-02-15
Last Update Date2017-02-15
Business Address
-- DEREK MATTHEW WOOD DPT
172 2ND ST S
NAMPA, ID 83651-3708
Phone number: 208-385-3620
Mailing Address
-- DEREK MATTHEW WOOD DPT
172 2ND ST S
NAMPA, ID 83651-3708
Phone number:
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