Individual
GREGORY D WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
1941 VIRGINIA AVE, CONNERSVILLE, IN 47331-2833
(756) 827-7964
(765) 827-6430
Mailing address
901 NATIONAL RD, CAMBRIDGE CITY, IN 47327-9775
(765) 541-8307
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006358000
MEDICARE GROUP PIN
UT
Enumeration date
01/10/2007
Last updated
03/01/2012
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