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NPI Code Detail

MEDICARE: REBECCA WOOD

MEDICARE: REBECCA WOOD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1224Z00000XOccupational Therapy Assistant1803TN

General Provider Information

NPI Number : 1952709669
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA WOOD
Provider Business Mailing Address
First Line : 184 TABITHA DR
Second Line :
City : LOBELVILLE
State : TN
Zip : 37097-3237
Country : US
Telephone Number : 615-418-2190
Fax Number :
Provider Business Practice Location Address
First Line : 726 KENTUCKY AVE S
Second Line :
City : PARSONS
State : TN
Zip : 38363-3105
Country : US
Telephone Number : 731-847-6371
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2014
Last Update Date : 12/11/2014

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Directions to “ REBECCA WOOD ” Practice Location

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