Doctor Name: | MS. TERRI JUNE WOODS |
NPI Number: | 1700846433 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ATC, LAT |
License Number: | 096000034 |
Business Practice Address: | 7400 Augusta St River Forest, IL - 603051402 |
Business Phone Number: | 7082093120 |
Business Fax Number: | 7084884208 |
Mailing Address: | 921 Lathrop Ave, FOREST PARK |
State: | IL |
Postal Code: | 601302265 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 03/25/2006 |
NPI Last Update Date: | 03/18/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 096000034 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |