Individual
CHARLES JUSTIN WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
509 HAMACHER ST STE 101, WATERLOO, IL 62298-1592
(618) 939-5555
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
12/10/2020
Last updated
12/10/2020
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