Individual
BROOKE E WOODALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
14785 OLD SAINT AUGUSTINE RD STE 100, JACKSONVILLE, FL 32258-7407
(904) 292-1808
Mailing address
1412 1ST ST N APT 109, JACKSONVILLE BEACH, FL 32250-7371
(904) 504-9747
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT19515
FL
Other
Enumeration date
09/19/2018
Last updated
09/19/2018
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