Tara Woodward, PTA

NPI #1760857759 in Lake Alfred, Florida

Provider Information

NPI Number: 1760857759
Entity Type: Individual
Name: Tara Woodward, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Dec 2, 2015
Last Updated: Oct 13, 2016

Practice Location

Address: 255 E MAIN ST
City: Lake Alfred
State: Florida
ZIP Code: 33850-2133
Phone: (863) 956-0411

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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