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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CAROL DENISE WOODVINE, M,OTR/L

Active Sole Proprietor

CAROL DENISE WOODVINE, M,OTR/L is a Pediatric Occupational Therapist healthcare provider located in BENTON CITY, Washington. NPI 1760997464 is currently active in the NPPES registry. Verify at CMS.

Pediatric Occupational Therapist · BENTON CITY, WA

Registration Details

NPI Number
1760997464
Provider Type
Individual
Gender
Female
NPI Issued
Dec 5, 2017 (8.6630058921786 yrs)
Last Updated
Dec 5, 2017
License
OT00003399 (WA)
Sole Proprietor
Yes

Practice Information

Address
913 HORNE DRIVE
BENTON CITY, WA, 99320
Browse WA providers · Browse ZIP 99320
Phone
5095882090
Primary Specialty
Pediatric Occupational Therapist
225XP0200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.