Individual
MR. RONALD WOOTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
148 FOOTHILLS CTR DR, STE 148, WEST UNION, SC 29696-2518
(864) 638-6405
(864) 638-6421
Mailing address
148 FOOTHILLS CTR DR, STE 148, WEST UNION, SC 29696-2518
(864) 638-6405
(864) 638-6421
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2105
SC
Other
Enumeration date
05/10/2007
Last updated
10/24/2007
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