Provider Demographics
NPI:1053901819
Name:WOMANSDPT
Entity type:Organization
Organization Name:WOMANSDPT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF PHYSICAL THERAPY
Authorized Official - Prefix:
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:
Authorized Official - Last Name:AKINWANDE
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:832-554-6561
Mailing Address - Street 1:2207 THISTLEROCK LN
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-8834
Mailing Address - Country:US
Mailing Address - Phone:832-554-6561
Mailing Address - Fax:
Practice Address - Street 1:2207 THISTLEROCK LN
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-8834
Practice Address - Country:US
Practice Address - Phone:832-554-6561
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-25
Last Update Date:2021-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy