Provider Demographics
NPI:1568170736
Name:WOODINGS, CINDY MEMMOTT
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:MEMMOTT
Last Name:WOODINGS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11924 N CENTAURUS PL
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85737-3455
Mailing Address - Country:US
Mailing Address - Phone:520-661-6966
Mailing Address - Fax:
Practice Address - Street 1:7500 N CALLE SIN ENVIDIA
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85718-7300
Practice Address - Country:US
Practice Address - Phone:520-742-6242
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-07
Last Update Date:2022-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ5034225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist