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Individual

ROBERT BRADLEY WOODS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
104 W RAILROAD AVE N, CRYSTAL SPRINGS, MS 39059-2154
(601) 892-8707
Mailing address
104 W RAILROAD AVE N, CRYSTAL SPRINGS, MS 39059-2154
(601) 892-8707

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA4126
MS

Other

Enumeration date
08/20/2007
Last updated
08/20/2007
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