Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YP1600X | Pastoral Counselor | ||
Y | 225X00000X | Occupational Therapist | 102004 | TX |
N | 2251E1200X | Ergonomics | 102004 | TX |
N | 225XE1200X | Ergonomics | 102004 | TX |
NPI | 1386882850 |
---|---|
Provider Name | Mrs. Julia M. Woodard |
First Address | Grand Prairie, TX 75052-3200 |
Second Address | Grand Prairie, TX 75052-3200 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/01/2009 |
Last Update Date | 21/01/2009 |