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NPI 1013081348

NPI 1013081348 : WOOD REHAB AND FITNESS LLC : MOUNDSVILLE, WV

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General NPI Number Information
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    NPI Number           |    1013081348
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    Entity Type          |    Organization 
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    Legal Business Name  |    WOOD REHAB AND FITNESS LLC 
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Dates
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    Enumeration Date     |    11/20/2006
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    132 N LAFAYETTE AVENUE 
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    City                 |    MOUNDSVILLE
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    State                |    WV
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    Zip                  |    26041
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    Country              |    US
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    Telephone            |    304-845-9550
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    Fax                  |    304-845-9540
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Provider Business Mailing Address
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    Address Line         |    132 N LAFAYETTE AVENUE 
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    City                 |    MOUNDSVILLE
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    State                |    WV
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    Zip                  |    26041
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    Country              |    US
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    Telephone            |    304-845-9550
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    Fax                  |    304-845-9540
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Authorized Official
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    Title or Position    |    EMPLOYER
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    Name                 |     GREGORY K WOOD 
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    Credential           |    DO
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    Telephone            |    304-845-2500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QP2000X
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    Taxonomy Name        |    Physical Therapy Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    225X00000X
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    Taxonomy Name        |    Occupational Therapist
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    License Number       |    
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    License Number State |    
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