Individual
NICOLE MAE WOODARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
567 N 5TH ST, SS172, TERRE HAUTE, IN 47809-1903
(812) 237-9613
(812) 237-9612
Mailing address
310 E LAMOTTE ST, PALESTINE, IL 62451-1328
(618) 586-4001
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070017864
IL
Other
Enumeration date
01/09/2012
Last updated
01/09/2012
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