Provider Demographics
NPI:1962833509
Name:WOODS, ASHLEY NADINE (OTR/L)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:NADINE
Last Name:WOODS
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:NADINE
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1015 S SHEPHERD DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77019-1122
Mailing Address - Country:US
Mailing Address - Phone:702-817-1818
Mailing Address - Fax:
Practice Address - Street 1:1015 S SHEPHERD DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77019-1122
Practice Address - Country:US
Practice Address - Phone:702-817-1818
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-12-09
Last Update Date:2020-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX115798225X00000X
NV12-0268225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist