Individual
DOUGLAS ERICK WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
630 N FODALE AVE, SOUTHPORT, NC 28461-3538
(910) 457-9581
Mailing address
630 N FODALE AVE, SOUTHPORT, NC 28461-3538
(910) 457-9581
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2801
NC
Other
Enumeration date
10/23/2010
Last updated
10/23/2010
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