Individual
JONATHAN ERIC WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3415 W END AVE APT 1011D, NASHVILLE, TN 37203-1027
(386) 295-9380
Mailing address
3415 W END AVE APT 1011D, NASHVILLE, TN 37203-1027
(386) 295-9380
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5466
TN
225X00000X
Occupational Therapist
OT15930
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5466
—
TN
05
—
OT15930
—
FL
Enumeration date
02/22/2021
Last updated
11/19/2021
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