Individual provider · Type 1 NPI

Madison Dora Wooten

Contractor · San Luis Obispo, CA

NPI number 1689326480 Active

Practice location

2945 Mcmillan Ave Ste 240
San Luis Obispo, CA 93401-6771

Specialties and licenses

TaxonomyCodeLicense
Contractor Primary 171W00000XNone listed

Contractor: For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no re…

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About NPI 1689326480

Madison Dora Wooten's National Provider Identifier is 1689326480, issued on Jan 22, 2022. The primary taxonomy on file is Contractor (171W00000X), and the practice location is in San Luis Obispo, CA. The record was last updated on Jan 22, 2022.