Provider Demographics
NPI:1194044123
Name:WOOLDRIDGE, DEBORAH ABUNDIS (OTR/L,MHS)
Entity Type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:ABUNDIS
Last Name:WOOLDRIDGE
Suffix:
Gender:F
Credentials:OTR/L,MHS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3928 KITTY HAWK CT
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46033-4801
Mailing Address - Country:US
Mailing Address - Phone:317-574-0840
Mailing Address - Fax:317-574-0840
Practice Address - Street 1:3928 KITTY HAWK CT
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46033-4801
Practice Address - Country:US
Practice Address - Phone:317-574-0840
Practice Address - Fax:317-574-0840
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-01
Last Update Date:2010-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN31004454A225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics