Individual
EMILY DIANA WOODRUFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1336 N UNIVERSITY DR, NACOGDOCHES, TX 75961-4219
(936) 569-7300
(936) 569-7301
Mailing address
1336 N UNIVERSITY DR, NACOGDOCHES, TX 75961-4219
(936) 569-7300
(936) 569-7301
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2066281
TX
2255A2300X
Athletic Trainer
010602028
TX
Other
Enumeration date
07/14/2008
Last updated
07/14/2008
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