Provider Demographics
NPI:1033194683
Name:WOOD, THOMAS D (PT)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:D
Last Name:WOOD
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Mailing Address - Street 1:209 WOODMONT DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15238-3625
Mailing Address - Country:US
Mailing Address - Phone:412-826-0204
Mailing Address - Fax:
Practice Address - Street 1:207 W 7TH AVE
Practice Address - Street 2:
Practice Address - City:WEST HOMESTEAD
Practice Address - State:PA
Practice Address - Zip Code:15120-1002
Practice Address - Country:US
Practice Address - Phone:412-462-0325
Practice Address - Fax:412-462-0311
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT003142225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist