Individual
JAMES ELBERN WOODS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2230 EXECUTIVE DR, HAMPTON, VA 23666-2430
(757) 992-8100
Mailing address
533 DAFIA DR, HAMPTON, VA 23666-2253
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
2305212021
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2305212021
PT LICENSE
VA
Enumeration date
11/10/2020
Last updated
11/10/2020
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