| Organization Name: | WOODLAND THERAPY & WELLNESS CENTER LLC |
| NPI Number: | 1164726352 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GREGORY C COLE (PRESIDENT / CEO) |
| Mailing Address: | 2003 Cobb St Farmville |
| State: | VA US |
| Postal Code: | 239012603 |
| Phone Number: | 4343926106 |
| Fax Number: | 4343924736 |
| NPI Enumeration Date: | 01/02/2011 |
| NPI Last Update Date: | 01/02/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation |
| Taxonomy Definition: | |