Individual
KEITH WOODLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1510 S CONWELL AVE, WILLARD, OH 44890-9448
(419) 964-5710
Mailing address
195 E COUNTY ROAD 16, TIFFIN, OH 44883-8932
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT.011049
OH
Other
Enumeration date
11/19/2014
Last updated
11/19/2014
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