Individual
JEFFERY WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., P.T.
Contact information
Practice address
1701 NW HAWTHORNE AVE, #103, GRANTS PASS, OR 97526-1257
(541) 476-2502
(541) 476-2397
Mailing address
1701 NW HAWTHORNE AVE, #103, GRANTS PASS, OR 97526-1257
(541) 476-2502
(541) 476-2397
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2237
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116582
—
OR
Enumeration date
12/02/2005
Last updated
03/07/2012
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