Doctor Name: | MICHAEL WOODEN |
NPI Number: | 1205905544 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MS, PT, OCS |
License Number: | GA001221 |
Business Practice Address: | 1370 Montreal Rd Suite 100 Tucker, GA - 300848128 |
Business Phone Number: | 7709393566 |
Business Fax Number: | |
Mailing Address: | Po Box 518, JONESBORO |
State: | GA |
Postal Code: | 302370518 |
Phone Number: | 7706318277 |
Fax Number: | 7706319403 |
NPI Enumeration Date: | 11/08/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | GA001221 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
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 |