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Individual
NATHAN WOODWARD
Active
Individual
NATHAN WOODWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12854-24
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1851477913
ST. CLARE NPI
WI
Enumeration date
11/04/2014
Last updated
06/24/2019
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