Individual
MRS. LAURA SHALEA WOOLDRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/ ATP
Contact information
Practice address
701 N EDGEFIELD AVE, DALLAS, TX 75208-3616
(972) 814-6665
Mailing address
701 N EDGEFIELD AVE, DALLAS, TX 75208-3616
(972) 814-6665
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
109985
TX
Other
Enumeration date
09/23/2012
Last updated
09/23/2012
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