Individual
MS. BARBARA WOODS WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4322 POLK ST, HOLLYWOOD, FL 33021-6616
(954) 548-8562
Mailing address
4322 POLK ST, HOLLYWOOD, FL 33021-6616
(954) 548-8562
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA0007907
FL
Other
Enumeration date
06/13/2007
Last updated
07/08/2007
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