Basic Information
Provider Information
NPI: 1013496702
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: WOODS
FirstName: SARAH
MiddleName:  
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NameSuffix:  
Credential:  
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OtherLastName:  
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Mailing Information
Address1: 12508 JONES MALTSBERGER RD STE 110
Address2:  
City: SAN ANTONIO
State: TX
PostalCode: 782474215
CountryCode: US
TelephoneNumber: 8885904002
FaxNumber: 2105904585
Practice Location
Address1: 10526 W PARMER LN STE 403
Address2:  
City: AUSTIN
State: TX
PostalCode: 787175057
CountryCode: US
TelephoneNumber: 8885904002
FaxNumber: 2105904585
Other Information
ProviderEnumerationDate: 08/13/2018
LastUpdateDate: 08/13/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225100000X1309651TXY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 

No ID Information.


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