Individual
JENNIFER RAE WOODS
Active
Individual
JENNIFER RAE WOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT.012858
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000677922
ANTHEM
OH
05
—
3112349
—
OH
Enumeration date
08/04/2010
Last updated
03/03/2011
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