Individual
SHAQUILLE JALIL WOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
931 N ASPEN ST, LINCOLNTON, NC 28092-2113
(704) 240-4400
Mailing address
935 WOODINGTON LN, CHARLOTTE, NC 28214-0024
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
10609
NC
Other
Enumeration date
03/22/2018
Last updated
03/22/2018
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