Individual
DAVID WOOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1515 UNIVERSITY BLVD S, MOBILE, AL 36609-2958
(251) 343-9600
(251) 380-3328
Mailing address
28003 OAKACHOY LOOP, DAPHNE, AL 36526
(251) 343-9600
(251) 380-3328
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA1396
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTA1396
STATE LICENSE
AL
Enumeration date
05/16/2007
Last updated
07/08/2007
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