| NPI | 1235351586 |
|---|---|
| Former Name | KELLY DENISE WOODS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT 27167) |
| Additional Taxonomies | 2251S0007X Physical Therapist, Sports |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2017-01-13 |