Doctor Name: | SANDRA EVELYN WOOD |
NPI Number: | 1154512960 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 433 |
Business Practice Address: | 45-691 Keaahala Rd Room 3 Kaneohe, HI - 967443569 |
Business Phone Number: | 8082335495 |
Business Fax Number: | 8082335494 |
Mailing Address: | 265 N Kalaheo Ave, KAILUA |
State: | HI |
Postal Code: | 967342319 |
Phone Number: | 8082335495 |
Fax Number: | 8082335494 |
NPI Enumeration Date: | 08/06/2007 |
NPI Last Update Date: | 08/06/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251P0200X |
License Number: | 433 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | HI |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |