Individual
JOHNYA SHELBY WOODARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1145 W REDONDO BEACH BLVD, GARDENA, CA 90247-3511
(310) 538-6598
Mailing address
3527 W 119TH CT, INGLEWOOD, CA 90303-2921
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5618
CA
Other
Enumeration date
07/30/2007
Last updated
07/30/2007
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