Individual
DANIEL W WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Contact information
Practice address
3867 BAYOU ACRES DR, BASTROP, LA 71220-9232
(318) 283-2080
(318) 283-0606
Mailing address
3867 BAYOU ACRES DR, BASTROP, LA 71220-9232
(318) 283-2080
(318) 283-0606
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT00809R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0196531
DEPARTMENT OF LABOR
LA
05
—
1437158
—
LA
01
—
CH5484
RAILROAD MEDICARE
LA
Enumeration date
05/01/2006
Last updated
12/21/2007
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