Individual
DIANE J. WOOLDRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
439 CHANNEL RD STE 102, LAKE WYLIE, SC 29710-6101
(803) 746-7800
Mailing address
1311 MAMARONECK AVE STE 140, WHITE PLAINS, NY 10605-5224
(914) 294-4050
(315) 853-7629
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
009744-1
NY
225100000X
Physical Therapist
Primary
11156
SC
Other
Enumeration date
07/08/2005
Last updated
06/27/2022
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