Provider Demographics
NPI:1821225335
Name:HOUSTON, WENDI EVETTE (BS, OTR/L)
Entity Type:Individual
Prefix:MS
First Name:WENDI
Middle Name:EVETTE
Last Name:HOUSTON
Suffix:
Gender:F
Credentials:BS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3160 SPOTTSWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38111-3138
Mailing Address - Country:US
Mailing Address - Phone:901-283-2148
Mailing Address - Fax:
Practice Address - Street 1:3160 SPOTTSWOOD AVE
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38111-3138
Practice Address - Country:US
Practice Address - Phone:901-283-2148
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-11
Last Update Date:2009-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AROTR1958225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist