Provider Demographics
NPI:1669611026
Name:WOOD, TERESA M (PT)
Entity type:Individual
Prefix:
First Name:TERESA
Middle Name:M
Last Name:WOOD
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 660708
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35266-0708
Mailing Address - Country:US
Mailing Address - Phone:205-822-8391
Mailing Address - Fax:205-822-8395
Practice Address - Street 1:2017 CANYON RD
Practice Address - Street 2:SUITE 21
Practice Address - City:VESTAVIA HILLS
Practice Address - State:AL
Practice Address - Zip Code:35216-1900
Practice Address - Country:US
Practice Address - Phone:205-822-8320
Practice Address - Fax:205-822-8323
Is Sole Proprietor?:No
Enumeration Date:2009-02-09
Last Update Date:2009-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH952225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist