Provider Demographics
NPI:1376722975
Name:WOODS, LAURIE (PT, MHS)
Entity type:Individual
Prefix:
First Name:LAURIE
Middle Name:
Last Name:WOODS
Suffix:
Gender:F
Credentials:PT, MHS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1925 ESSEX FARMS DR
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29414-6696
Mailing Address - Country:US
Mailing Address - Phone:843-823-5254
Mailing Address - Fax:
Practice Address - Street 1:1925 ESSEX FARMS DR
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29414-6696
Practice Address - Country:US
Practice Address - Phone:843-823-5254
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-31
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC2538OtherSC LLR