Individual
MICHAEL WOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1282 MAIN ST, FAIRFAX, VT 05454-9534
(802) 849-9308
Mailing address
1282 MAIN ST, FAIRFAX, VT 05454-9534
(802) 849-9308
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
040.0104060
VT
Other
Enumeration date
08/11/2014
Last updated
08/11/2014
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