Provider Demographics
NPI:1023729126
Name:WORKMAN, CAROLINE (DPT)
Entity type:Individual
Prefix:
First Name:CAROLINE
Middle Name:
Last Name:WORKMAN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2283 S VON BRAUN CT
Mailing Address - Street 2:
Mailing Address - City:HARVEY
Mailing Address - State:LA
Mailing Address - Zip Code:70058-3018
Mailing Address - Country:US
Mailing Address - Phone:214-603-7281
Mailing Address - Fax:
Practice Address - Street 1:1206 PEBBLE CREEK DR
Practice Address - Street 2:
Practice Address - City:EULESS
Practice Address - State:TX
Practice Address - Zip Code:76040-5948
Practice Address - Country:US
Practice Address - Phone:214-603-7281
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-08
Last Update Date:2022-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA11140225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist