Individual
GENA WOODWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
8801 W MARKHAM ST, LITTLE ROCK, AR 72205-2316
(501) 223-3314
(501) 223-8023
Mailing address
8801 W MARKHAM ST, LITTLE ROCK, AR 72205-2316
(501) 223-3314
(501) 223-8023
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2393
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5U747
BLUE CROSS BLUE SHIELD
AR
Enumeration date
08/11/2006
Last updated
12/18/2007
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