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Individual

MRS. THERESA MARIE WOOD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
5230 BREWER RD, LAINGSBURG, MI 48848-8765
(989) 277-9272
Mailing address
5230 BREWER RD, LAINGSBURG, MI 48848
(989) 277-9272

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502000981
MI

Other

Enumeration date
09/19/2012
Last updated
09/19/2012
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