| NPI | 1225569239 |
|---|---|
| Former Legal Business Name | STACI LYNN TIBBS & ASSOCIATES, INC. |
| Entity Type | Organization |
| Authorized Contact | STACI TIBBS WILSON Owner 713-280-3663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XL0004X Occupational Therapist, Low Vision (Licence: TX 112297) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 112297) |
| 225XG0600X Occupational Therapist, Gerontology (Licence: TX 112297) | |
| 225XN1300X Occupational Therapist, Neurorehabilitation (Licence: TX 112297) | |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2022-02-04 |