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NPI Code Detail

MEDICARE: LAURA WOODARD PT

MEDICARE:   LAURA  WOODARD  PT
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
1225100000XPhysical Therapist6254SC

General Provider Information

NPI Number : 1992019509
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA WOODARD PT
Provider Business Mailing Address
First Line : 555 E CHEVES ST
Second Line :
City : FLORENCE
State : SC
Zip : 29506-2617
Country : US
Telephone Number : 843-777-2250
Fax Number : 843-777-2051
Provider Business Practice Location Address
First Line : 1540 E ARLINGTON BLVD
Second Line :
City : GREENVILLE
State : NC
Zip : 27858-5870
Country : US
Telephone Number : 252-364-2806
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/06/2010
Last Update Date : 09/11/2025

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Directions to “ LAURA WOODARD PT” Practice Location

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