Provider Demographics
NPI:1760644652
Name:WOODS, ANNA MARIE (PT)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:MARIE
Last Name:WOODS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 13269
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32317-3269
Mailing Address - Country:US
Mailing Address - Phone:850-219-1520
Mailing Address - Fax:850-219-1521
Practice Address - Street 1:257 SW DADE ST
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:FL
Practice Address - Zip Code:32340-2361
Practice Address - Country:US
Practice Address - Phone:850-973-3316
Practice Address - Fax:850-973-1261
Is Sole Proprietor?:No
Enumeration Date:2008-07-01
Last Update Date:2011-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT24106225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1689704439Medicare NSC