Individual
JEREMY WOODALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
122 CHIMES WAY SW, HUNTSVILLE, AL 35824-2443
(256) 345-7003
Mailing address
122 CHIMES WAY SW, HUNTSVILLE, AL 35824-2443
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH5020
AL
Other
Enumeration date
04/27/2012
Last updated
04/27/2012
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