Individual
MR. WAYNE PERCY WOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
300 S PRICE ST, KINGWOOD, WV 26537-1442
(304) 329-3908
Mailing address
300 S PRICE ST, KINGWOOD, WV 26537-1442
(304) 329-1400
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
000755
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810001315
—
WV
Enumeration date
12/15/2006
Last updated
04/16/2008
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