Individual
KELLY WOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1039 HASKINS RD, SUITE L, BOWLING GREEN, OH 43402-9065
(419) 353-8000
Mailing address
6123 W MT HOPE HWY, LANSING, MI 48917-0000
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT005873
OH
Other
Enumeration date
09/10/2007
Last updated
09/10/2007
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