Provider Demographics
NPI:1063455038
Name:WOODS, DORIS A (PHD, RKT)
Entity Type:Individual
Prefix:DR
First Name:DORIS
Middle Name:A
Last Name:WOODS
Suffix:
Gender:F
Credentials:PHD, RKT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6775 BRINT RD
Mailing Address - Street 2:
Mailing Address - City:SYLVANIA
Mailing Address - State:OH
Mailing Address - Zip Code:43560-2836
Mailing Address - Country:US
Mailing Address - Phone:419-885-5274
Mailing Address - Fax:
Practice Address - Street 1:2801 W BANCROFT ST
Practice Address - Street 2:KINESIOTHERAPY CENTER, UNIV OF TOLEDO, M.S. 201
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43606-3328
Practice Address - Country:US
Practice Address - Phone:419-530-2731
Practice Address - Fax:419-530-5345
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes226300000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersKinesiotherapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH34-640148OtherTAX ID NUMBER