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Individual

MICHAEL WOOD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
502 N ELECTRIC AVE APT D, ALHAMBRA, CA 91801-2045
(510) 290-0586
Mailing address
502 N ELECTRIC AVE APT D, ALHAMBRA, CA 91801-2045
(510) 290-0586

Taxonomy

Speciality
Code
Description
License number
State
103TE1100X
Exercise & Sports Psychologist
133NN1002X
Nutrition Education Nutritionist
172V00000X
Community Health Worker
225100000X
Physical Therapist
2251S0007X
Sports Physical Therapist
2255A2300X
Athletic Trainer
Primary
225800000X
Recreation Therapist
225XE1200X
Ergonomics Occupational Therapist
225XG0600X
Gerontology Occupational Therapist

Other

Enumeration date
06/09/2016
Last updated
06/09/2016
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