Individual
REBECCA WOODALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5601 UPTON DR, BATON ROUGE, LA 70809-3140
(225) 293-3210
Mailing address
5601 UPTON DR, BATON ROUGE, LA 70809-3140
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8686
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8686
—
LA
Enumeration date
08/01/2022
Last updated
08/01/2022
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