Provider Demographics
NPI:1467852442
Name:WOOTERS, ANDREW (DPT)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:
Last Name:WOOTERS
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:5514 ATASCOCITA RD STE 160
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77346-3761
Mailing Address - Country:US
Mailing Address - Phone:281-441-5371
Mailing Address - Fax:281-441-5373
Practice Address - Street 1:5514 ATASCOCITA RD STE 160
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77346-3761
Practice Address - Country:US
Practice Address - Phone:281-441-5371
Practice Address - Fax:281-441-5373
Is Sole Proprietor?:No
Enumeration Date:2014-08-27
Last Update Date:2014-08-27
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic