JUSTIN WALLACE THIBERVILLE

ABILENE, TX
NPI1033287099
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: TX  111790)
Enumeration Date2006-11-30
Last Update Date2007-07-08
Business Address
-- JUSTIN WALLACE THIBERVILLE OTR
4601 HARTFORD ST
ABILENE, TX 79605-4603
Phone number: 325-793-3400
Mailing Address
-- JUSTIN WALLACE THIBERVILLE OTR
4601 HARTFORD ST
ABILENE, TX 79605-4603
Phone number: 325-793-3400
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