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Individual

MATTHEW WOODRUFF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
359 AVALON WAY, BRANDON, MS 39047-7787
(662) 207-6756
Mailing address
359 AVALON WAY, BRANDON, MS 39047-7787
(662) 207-6756

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT4885
MS

Other

Enumeration date
11/01/2013
Last updated
11/01/2013
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