Individual
BRADLEY C WOO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2166 N MOORPARK RD STE 200, THOUSAND OAKS, CA 91360-5011
(805) 370-1020
(805) 370-1022
Mailing address
2166 N MOORPARK RD STE 200, THOUSAND OAKS, CA 91360-5011
(805) 370-1020
(805) 370-1022
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT18991
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT18991
STATE CA PHYSICAL THERAPY LICENSE
CA
Enumeration date
01/30/2009
Last updated
12/13/2018
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