Individual
CHAD WOODSIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
21 HUFFMAN ST, WILLIAMSPORT, PA 17701-2157
(570) 916-2288
Mailing address
21 HUFFMAN ST, WILLIAMSPORT, PA 17701-2157
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT005716
PA
Other
Enumeration date
10/30/2014
Last updated
10/30/2014
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