Individual
GRADY WOODUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
628 SUDDERTH DR, RUIDOSO, NM 88345-6204
(575) 257-5820
(575) 257-9560
Mailing address
PO BOX 7100, RUIDOSO, NM 88355-7100
(575) 257-5820
(575) 257-9560
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/20/2024
Last updated
05/20/2024
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