Individual
SUSAN LUPIDI WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, CERT. MDT
Contact information
Practice address
108 PROVIDENCE TRL STE 102, MT JULIET, TN 37122-6386
(615) 553-9761
Mailing address
604 BLOOMFIELD WAY, BRENTWOOD, TN 37027-4766
(859) 333-4181
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
12136
TN
Other
Enumeration date
02/21/2019
Last updated
02/21/2019
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