Individual
ROBERT LINCOLN WOODRUFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1050 E NORRIS DR STE 3, OTTAWA, IL 61350-1605
(815) 431-5746
Mailing address
2 KILEY DR APT 32, STREATOR, IL 61364-9787
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.004513
IL
Other
Enumeration date
03/27/2018
Last updated
03/27/2018
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