MEDICARE: THRESE TORA WOODS

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
1	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1053898528
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THRESE TORA WOODS

Provider Business Mailing Address
First Line	:	1938 SPAIN ST
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70117-8122
Country	:	US
Telephone Number	:	504-342-1483
Fax Number	:

Provider Business Practice Location Address
First Line	:	1938 SPAIN ST
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70117-8122
Country	:	US
Telephone Number	:	504-342-1483
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/26/2018
Last Update Date	:	07/26/2018

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Directions to “ THRESE TORA WOODS ” Practice Location

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