Provider Demographics
NPI:1255536827
Name:WOODRING, ALICE H (PT)
Entity type:Individual
Prefix:
First Name:ALICE
Middle Name:H
Last Name:WOODRING
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:HC 67 BOX 36
Mailing Address - Street 2:
Mailing Address - City:MIFFLIN
Mailing Address - State:PA
Mailing Address - Zip Code:17058-9705
Mailing Address - Country:US
Mailing Address - Phone:717-436-9606
Mailing Address - Fax:
Practice Address - Street 1:151 E MARKET ST
Practice Address - Street 2:
Practice Address - City:LEWISTOWN
Practice Address - State:PA
Practice Address - Zip Code:17044-2126
Practice Address - Country:US
Practice Address - Phone:717-242-3606
Practice Address - Fax:717-242-4341
Is Sole Proprietor?:No
Enumeration Date:2007-06-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT-017146225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist