Individual
JESSICA M WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT,DPT,ATC
Contact information
Practice address
50 N WALNUT ST, NANTICOKE, PA 18634-2358
(570) 258-2365
Mailing address
50 N WALNUT ST, NANTICOKE, PA 18634-2358
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/26/2017
Last updated
02/15/2025
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