Individual
CARLEY DANIELLE WOOTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1404 E AVALON AVE STE B2, TUSCUMBIA, AL 35674-1771
(256) 978-4001
(256) 978-4002
Mailing address
8205 PRESIDENTS DR, HUMMELSTOWN, PA 17036-8621
(717) 839-2159
(717) 565-1104
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA9624
—
Other
Enumeration date
11/01/2019
Last updated
11/01/2019
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