Individual
LISA WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
3117 STILLWATER DR, PRESCOTT, AZ 86305-7164
(928) 442-0005
Mailing address
3117 STILLWATER DRIVE, PRESCOTT, AZ 86305
(928) 442-0005
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT019371
PA
Other
Enumeration date
06/02/2009
Last updated
06/02/2009
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