Individual
MICHAEL WOOSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
29176 WHITEGATE LN., HIHGLAND, CA 92346
(909) 214-2235
Mailing address
29176 WHITEGATE LN, HIGHLAND, CA 92346-6817
(909) 214-2235
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT-5375
CA
Other
Enumeration date
09/25/2015
Last updated
09/25/2015
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