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Individual

AUSTIN WOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPTA

Contact information

Practice address
3700 S RAILROAD ST STE B, PHENIX CITY, AL 36867-2994
(334) 298-7700
Mailing address
3700 S RAILROAD ST STE B, PHENIX CITY, AL 36867-2994

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA9436
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PTA9436
LPTA NUMBER
AL
Enumeration date
09/22/2022
Last updated
09/22/2022
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