Individual
LAURA T WOODWORTH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2500 S HILL RD, GLADSTONE, MI 49837-2310
(906) 630-1293
(906) 428-2699
Mailing address
2500 S HILL RD, GLADSTONE, MI 49837-2310
(906) 630-1293
(906) 428-2699
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201000682
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5201000682
STATE OTRREGISTRATION NO
MI
Enumeration date
07/28/2005
Last updated
07/08/2007
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