Healthcare Provider Details

I. General information

NPI: 1538087663
Provider Name (Legal Business Name): ALEXIA ARNELLE WOOTEN OTR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2021 E LAMAR BLVD STE 200
ARLINGTON TX
76006-7357
US

IV. Provider business mailing address

2208 WINSTED DR APT 4210
DALLAS TX
75214-3893
US

V. Phone/Fax

Practice location:
  • Phone: 972-237-0100
  • Fax: 972-237-0101
Mailing address:
  • Phone: 901-355-7651
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number126633
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: