Individual
MRS. MICHELLE MARIE WOODWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1941 SAVAGE RD, SUITE 400 C, CHARLESTON, SC 29407-4704
(843) 571-2700
(843) 571-2124
Mailing address
116 WHALER RD, SUMMERVILLE, SC 29485-8372
(843) 875-4779
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1487
SC
Other
Enumeration date
02/26/2007
Last updated
07/08/2007
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