# PAMELA LEE WOODSIDE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1710234414
- **Gender:** F
- **Credential:** DPT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2251P0200X | Pediatric Physical Therapist | 7647 | TN | Yes |
| 251E00000X | Home Health Agency | 7647 | TN | — |

## Other

- **Enumeration date:** 08/13/2012
- **Last updated:** 08/20/2012