Provider Demographics
NPI:1790817393
Name:WOOD-MORGAN, JODY LYNN (PT)
Entity type:Individual
Prefix:
First Name:JODY
Middle Name:LYNN
Last Name:WOOD-MORGAN
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 1:1781 HANOVER RD
Mailing Address - Street 2:
Mailing Address - City:GETTYSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17325-7716
Mailing Address - Country:US
Mailing Address - Phone:717-337-1571
Mailing Address - Fax:717-337-9861
Practice Address - Street 1:1781 HANOVER RD
Practice Address - Street 2:
Practice Address - City:GETTYSBURG
Practice Address - State:PA
Practice Address - Zip Code:17325-7716
Practice Address - Country:US
Practice Address - Phone:717-337-1571
Practice Address - Fax:717-337-9861
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT006732L2251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics