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Individual

HEIDI WOMACK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MOT/L

Contact information

Practice address
3712 LIGHTHOUSE DR, DENTON, TX 76210-0222
(940) 300-5292
(940) 226-3103
Mailing address
3712 LIGHTHOUSE DR, DENTON, TX 76210-0222
(940) 300-5292

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
112605
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
463554201
TX
05
463554202
TX
05
467457401
TX
Enumeration date
07/31/2017
Last updated
04/06/2025
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