CHARLENE TIDWELL

SAN ANTONIO, TX
NPI1740772219
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: TX  213729)
Enumeration Date2018-05-31
Last Update Date2018-05-31
Business Address
CHARLENE TIDWELL COTA/L
3201 CHERRY RIDGE ST STE D400
SAN ANTONIO, TX 78230-4820
Phone number: 210-692-0222
Mailing Address
CHARLENE TIDWELL COTA/L
3711 MEDICAL DR APT 2537
SAN ANTONIO, TX 78229-2349
Phone number: 575-915-5243
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