Individual
MRS. JACQUELINE ANN WOODWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 BERWICK RD, ORANGEVILLE, PA 17859-9064
(570) 683-8511
Mailing address
183 BOWMANS MILL RD, BLOOMSBURG, PA 17815-7241
(570) 683-8525
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI000361
PA
Other
Enumeration date
09/13/2010
Last updated
09/13/2010
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