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Individual

MR. RICHARD CHARLES WOODBECK JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OPA-C, OTC, OT-SC

Contact information

Practice address
3035 DEMERS AVE, GRAND FORKS, ND 58201-4040
(701) 746-7521
(701) 795-2553
Mailing address
1215 S 23RD ST, GRAND FORKS, ND 58201-5176

Taxonomy

Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary

Other

Enumeration date
08/31/2006
Last updated
07/08/2007
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