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Individual

DEANA MARIE WOODWARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2615 DERR RD, SPRINGFIELD, OH 45503-2445
(937) 390-0005
Mailing address
2615 DERR RD, SPRINGFIELD, OH 45503-2445
(937) 390-0005

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
03212
OH

Other

Enumeration date
06/10/2020
Last updated
06/10/2020
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