Most Relevant Information
Provider Data
| NPI Number: | 1003320193 |
| Provider Name: | BOBBY J WOODS PTA |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | 40QB00328200 |
Most Important Dates
| Enumeration Date: | 11/28/2017 |
| Last Updated: | 11/28/2017 |
Provider Practice Location
84 KENWOOD DR
SICKLERVILLE
NJ
080814212
Practice Location Phone/Fax
| Phone: | 3216138867 |
| Fax: |
Provider Mailing Location
84 KENWOOD DR
SICKLERVILLE
NJ
080814212
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |