Healthcare Provider Details

I. General information

NPI: 1881328375
Provider Name (Legal Business Name): ABBIGAIL KATHLEEN WOODRING
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/12/2022
Last Update Date: 08/01/2025
Certification Date: 08/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2701 SHILLINGTON RD STE 100
READING PA
19608-1732
US

IV. Provider business mailing address

2701 SHILLINGTON RD STE 100
READING PA
19608-1732
US

V. Phone/Fax

Practice location:
  • Phone: 484-822-6170
  • Fax:
Mailing address:
  • Phone: 484-619-0820
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberMA063699
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberMA063699
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: