Individual
MR. LAWRENCE MICHAEL WOODHAMS SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.A.
Contact information
Practice address
408 N CANYON ST, CARLSBAD, NM 88220-5812
(505) 234-3369
Mailing address
4404 W TEXAS ST, CARLSBAD, NM 88220-2807
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A-304
NM
Other
Enumeration date
01/09/2007
Last updated
07/08/2007
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