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NPI Code Detail

MEDICARE: MRS. SANDRA L WOODS P.T.

MEDICARE: MRS. SANDRA L WOODS P.T.
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 Therapist
2225100000XPhysical Therapist22120MD

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
8283MS201OTHERMDPTAN, MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
101247075OTHERMDAMERIGROUP
29570083OTHERMDAETNA
3841104OTHERMDOPTUM
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
51679630073OTHERMDNPI FACILITY NUMBER
6F7170016OTHERMDCAREFIRST
7212375OTHERMDJHHC

General Provider Information

NPI Number : 1013025725
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SANDRA L WOODS P.T.
Provider Business Mailing Address
First Line : 501 FAIRMOUNT AVE
Second Line : SUITE 302
City : TOWSON
State : MD
Zip : 21286-5457
Country : US
Telephone Number : 410-927-8768
Fax Number : 410-648-4878
Provider Business Practice Location Address
First Line : 5500 KNOLL NORTH DR STE 150
Second Line :
City : COLUMBIA
State : MD
Zip : 21045-2476
Country : US
Telephone Number : 443-542-0062
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2006
Last Update Date : 03/09/2023

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Directions to “ MRS. SANDRA L WOODS P.T.” Practice Location

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