Provider Demographics
NPI:1619785276
Name:LARECHE, WOODLIN (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:WOODLIN
Middle Name:
Last Name:LARECHE
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:151 POND ST
Mailing Address - Street 2:
Mailing Address - City:LEOMINSTER
Mailing Address - State:MA
Mailing Address - Zip Code:01453-3541
Mailing Address - Country:US
Mailing Address - Phone:404-403-6267
Mailing Address - Fax:
Practice Address - Street 1:963 STATE HIGHWAY 121 STE 1100
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-6033
Practice Address - Country:US
Practice Address - Phone:469-322-1400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-27
Last Update Date:2024-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1401832225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist