Individual
GRANT IAN WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
100 S ELLSWORTH AVE STE 203, SAN MATEO, CA 94401-3932
(650) 343-4504
Mailing address
100 S ELLSWORTH AVE STE 203, SAN MATEO, CA 94401-3932
(650) 343-4504
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
—
—
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
10/04/2007
Last updated
10/04/2007
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