| NPI | 1528322161 |
|---|---|
| Former Name | ANNA E WOOD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: IL 070.017923) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070.017923) |
| Enumeration Date | 2012-06-28 |
| Last Update Date | 2012-06-28 |