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General NPI Number Information
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NPI Number | 1750128112
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Entity Type | Individual
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Provider Name | CHEYENNE WOOD OTR, OTD
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Gender | Female
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Dates
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Enumeration Date | 07/12/2024
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 60 NOBLE CT STE 120
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City | HEATH
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State | TX
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Zip | 75032-6355
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Country | US
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Telephone | 469-974-1243
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Fax |
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Provider Business Mailing Address
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Address Line | 1214 ERIKA LN
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City | FORNEY
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State | TX
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Zip | 75126-5016
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Country | US
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Telephone | 940-205-7653
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 124687
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License Number State | TX
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