Charles Justin Wood

NPI #1023614401 in Waterloo, Illinois

Provider Information

NPI Number: 1023614401
Entity Type: Individual
Name: Charles Justin Wood
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Dec 10, 2020
Last Updated: Dec 10, 2020

Practice Location

Address: 509 HAMACHER ST STE 101
City: Waterloo
State: Illinois
ZIP Code: 62298-1592
Phone: (618) 939-5555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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