Individual
BETTY WOODSIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2611 JONES AVE, PUEBLO, CO 81004-2650
(719) 564-1735
Mailing address
478 S CLARION DR, PUEBLO, CO 81007-1526
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0013238
CO
Other
Enumeration date
04/27/2017
Last updated
04/27/2017
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