Provider Demographics
NPI:1699163121
Name:WOOD, ALBERT THURMAN III (ATC)
Entity type:Individual
Prefix:MR
First Name:ALBERT
Middle Name:THURMAN
Last Name:WOOD
Suffix:III
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:350 NOXONTOWN RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:DE
Mailing Address - Zip Code:19709-1621
Mailing Address - Country:US
Mailing Address - Phone:302-463-5386
Mailing Address - Fax:302-378-7120
Practice Address - Street 1:350 NOXONTOWN RD
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:DE
Practice Address - Zip Code:19709-1621
Practice Address - Country:US
Practice Address - Phone:302-463-5386
Practice Address - Fax:302-378-7120
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-06
Last Update Date:2015-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEJ3-00001362255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer