Doctor Name: | MRS. WENDI JO WOOD |
NPI Number: | 1003023144 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | 1692 |
Business Practice Address: | 300 Park St Stevensville, MT - 598702603 |
Business Phone Number: | 4067772494 |
Business Fax Number: | |
Mailing Address: | 5514 Circle Dr, FLORENCE |
State: | MT |
Postal Code: | 598336636 |
Phone Number: | 4062734605 |
Fax Number: | |
NPI Enumeration Date: | 05/17/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251P0200X |
License Number: | 1692 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |