Most Relevant Information
Provider Data
| NPI Number: | 1003020587 |
| Provider Name: | RONALD WOOTEN P.T. |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 2105 |
Most Important Dates
| Enumeration Date: | 05/10/2007 |
| Last Updated: | 10/24/2007 |
Provider Practice Location
148 FOOTHILLS CTR DR
STE 148
WEST UNION
SC
296962518
Practice Location Phone/Fax
| Phone: | 8646386405 |
| Fax: | 8646386421 |
Provider Mailing Location
148 FOOTHILLS CTR DR
STE 148
WEST UNION
SC
296962518
Provider Mailing Phone/Fax
| Phone: | 8646386405 |
| Fax: | 8646386421 |