Provider Demographics
NPI:1124507710
Name:WELCH, WENDY LEIGH (OTR)
Entity type:Individual
Prefix:MS
First Name:WENDY
Middle Name:LEIGH
Last Name:WELCH
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:WENDY
Other - Middle Name:
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:28222 TIMBER VLG
Mailing Address - Street 2:
Mailing Address - City:MAGNOLIA
Mailing Address - State:TX
Mailing Address - Zip Code:77355-4224
Mailing Address - Country:US
Mailing Address - Phone:832-334-1313
Mailing Address - Fax:
Practice Address - Street 1:903 LONGMIRE RD
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77304-1817
Practice Address - Country:US
Practice Address - Phone:936-207-1258
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-14
Last Update Date:2021-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX111461225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist