Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANE M WOODS, COTA
Active Sole ProprietorSHANE M WOODS, COTA is a Physical Medicine & Rehabilitation healthcare provider located in MOORPARK, California. NPI 1376726547 is currently active in the NPPES registry. Verify at CMS.
Physical Medicine & Rehabilitation · MOORPARK, CA
Registration Details
- NPI Number
- 1376726547
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 11, 2007 (18.670010285462 yrs)
- Last Updated
- Aug 3, 2020
- License
-
OTA1226 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
680 FLINN AVE UNIT 38MOORPARK, CA, 930212076Browse CA providers · Browse ZIP 93021
- Phone
- 8055232031
- Fax
- 8885112260
- Primary Specialty
-
Physical Medicine & Rehabilitation
208100000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.