MEDICARE: SYDNEY WOODFORD OTR/L

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	225X00000X	Occupational Therapist	13706	NC
2	225X00000X	Occupational Therapist	7662	SC

General Provider Information

NPI Number	:	1447844725
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SYDNEY WOODFORD OTR/L

Provider Business Mailing Address
First Line	:	103 AMELIA CT
Second Line	:
City	:	GOLDSBORO
State	:	NC
Zip	:	27530-9055
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	103 AMELIA CT
Second Line	:
City	:	GOLDSBORO
State	:	NC
Zip	:	27530-9055
Country	:	US
Telephone Number	:	973-508-9548
Fax Number	:

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

Provider Enumeration Date	:	02/26/2021
Last Update Date	:	01/06/2026

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