Individual
AUDRA WOODRUFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1350 14TH AVE SE, DECATUR, AL 35601-4364
(256) 355-6911
Mailing address
77501 US HIGHWAY 231, BLOUNTSVILLE, AL 35031-5857
(256) 620-6855
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3925
AL
Other
Enumeration date
10/05/2015
Last updated
10/05/2015
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