| NPI | 1770019598 |
|---|---|
| Former Name | GENIE WOODARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT014719) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT016823) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2022-11-07 |