Individual
MRS. DIANNE MICHELLE WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
317 KNUTSON DR, MADISON, WI 53704-1133
(608) 301-9277
Mailing address
317 KNUTSON DR, MADISON, WI 53704-1133
(608) 301-9277
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5203-024
WI
Other
Enumeration date
09/28/2006
Last updated
12/17/2009
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