Doctor Name: | JAKARA ADRIAN WOODS |
NPI Number: | 1417193905 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MPT |
License Number: | PT018674 |
Business Practice Address: | 551 W Lancaster Ave Haverford, PA - 190411419 |
Business Phone Number: | 6105254000 |
Business Fax Number: | 6105266742 |
Mailing Address: | 7400 Haverford Ave, Apt. E222 PHILADELPHIA |
State: | PA |
Postal Code: | 191512938 |
Phone Number: | 6106096958 |
Fax Number: | 6102375711 |
NPI Enumeration Date: | 01/05/2009 |
NPI Last Update Date: | 01/05/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT018674 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
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 |