Individual
JACLYN FARRIOR WOODALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
2503 WAYNE MEMORIAL DR, GOLDSBORO, NC 27534-9401
(919) 734-1311
Mailing address
2503 WAYNE MEMORIAL DR, GOLDSBORO, NC 27534-9401
(919) 734-1311
(919) 734-8816
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P20640
NC
Other
Enumeration date
08/06/2021
Last updated
08/10/2021
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