Individual
MS. DIANA LYNN WOODIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, PT
Contact information
Practice address
1500 WILSON LOOP, WARD, AR 72176
(501) 941-5630
(501) 843-2270
Mailing address
33 LILAC LN, CABOT, AR 72023-8182
(501) 912-6401
(501) 843-2270
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
2185
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5U634
BLUE CROSS BLUE SHIELD
AR
Enumeration date
01/29/2007
Last updated
07/08/2007
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