Individual
SENECA J WOODS
Active
Individual
SENECA J WOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT,MOT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2182
ID
225X00000X
Occupational Therapist
PT-815
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010160967
REGENCE BLUE SHIELD OF ID
ID
01
—
TD581
BLUE CROSS OF IDAHO
ID
Enumeration date
02/22/2007
Last updated
11/13/2007
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