Individual
JESSICA WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, ATP
Contact information
Practice address
1276 CONCORD AVE, RICHMOND, VA 23228-6518
(804) 351-5824
Mailing address
1276 CONCORD AVE, RICHMOND, VA 23228-6518
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305209494
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952867509
—
VA
Enumeration date
04/22/2021
Last updated
04/22/2021
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