Individual
DONNA ELIZABETH WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
713 CALIFORNIA ST SE, ALBUQUERQUE, NM 87108-3707
(505) 265-2168
Mailing address
8515 MENDOCINO DR NE, ALBUQUERQUE, NM 87122-2671
(505) 328-3816
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2114
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
82952337
—
NM
Enumeration date
04/04/2007
Last updated
07/09/2007
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