Individual
KEITH DELL WOODSIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15817 W MEADE LN, GOODYEAR, AZ 85338-9785
(480) 717-2144
Mailing address
15817 W MEADE LN, GOODYEAR, AZ 85338-9785
(480) 717-2144
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
05/26/2021
Last updated
05/26/2021
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