Doctor Name: | MOLLY JEAN WOODHALL |
NPI Number: | 1104299221 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT, DPT |
License Number: | 4987 |
Business Practice Address: | 5110 S Yale Ave Ste 304 Tulsa, OK - 741357401 |
Business Phone Number: | 9183987400 |
Business Fax Number: | 9183987440 |
Mailing Address: | 2234 W Houston St Ste B, BROKEN ARROW |
State: | OK |
Postal Code: | 740123519 |
Phone Number: | 9182591888 |
Fax Number: | 9182513725 |
NPI Enumeration Date: | 11/11/2015 |
NPI Last Update Date: | 04/27/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 4987 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |