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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JUSTIN WALLACE THIBERVILLE, OTR

Active

JUSTIN WALLACE THIBERVILLE, OTR is a Occupational Therapy Assistant healthcare provider located in ABILENE, Texas. NPI 1033287099 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · ABILENE, TX

Registration Details

NPI Number
1033287099
Provider Type
Individual
Gender
Male
NPI Issued
Nov 30, 2006 (19.708403470198 yrs)
Last Updated
Jul 8, 2007
License
111790 (TX)

Practice Information

Address
4601 HARTFORD ST
ABILENE, TX, 796054603
Browse TX providers · Browse ZIP 79605
Phone
3257933400
Fax
3257933587
Primary Specialty
Occupational Therapy Assistant
224Z00000X

Other Occupational Therapy Assistant Providers in ABILENE, TX

Name Credential NPI
MR. LARRY GENE CROCKETT COTA 1881711091
SHELLY RENEE GREEN COTA 1952521171
TERESA ANN WELLS COTA 1699075028
BRITTANY LEIGH WATSON OTA/L 1780952085
LYNDA SALINE COTA 1548670243
VALERIE EVANS COTA/L 1134517188
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.