Individual
RICHARD SCOTT WOODLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1800 FLANDRO DR STE 190, POCATELLO, ID 83202-4940
(208) 233-2248
Mailing address
974 MEADOWBROOK LN, POCATELLO, ID 83201-3628
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-5211
ID
Other
Enumeration date
06/01/2017
Last updated
06/01/2017
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