Individual
MRS. LARA K WOODARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
55 SGT PRENTISS DR, SUITE 8, NATCHEZ, MS 39120-4782
(601) 446-8764
(601) 446-8745
Mailing address
55 SGT PRENTISS DR, SUITE 8, NATCHEZ, MS 39120-4782
(601) 446-8764
(601) 446-8745
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3384
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01850075
—
MS
Enumeration date
10/17/2006
Last updated
05/15/2021
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