Individual
KIMBERLY LYNN WOODWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
205 EASY ST, SALTVILLE, VA 24370-2707
(276) 496-9104
Mailing address
205 EASY ST, SALTVILLE, VA 24370-2707
(276) 496-9104
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306602609
VA
Other
Enumeration date
11/08/2012
Last updated
11/08/2012
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