| NPI | 1467015446 |
|---|---|
| Former Name | NICOLE WOODALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 307257) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT34393) |
| Enumeration Date | 2019-04-16 |
| Last Update Date | 2025-02-17 |