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

ELAINE TIDWELL

Active

ELAINE TIDWELL is a Occupational Therapist healthcare provider located in LIBERTY, Texas. NPI 1033983416 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · LIBERTY, TX

Registration Details

NPI Number
1033983416
Provider Type
Individual
Gender
Female
NPI Issued
Nov 7, 2023 (2.585416900587 yrs)
Last Updated
Nov 7, 2023
License
2059491 (TX)

Practice Information

Address
1620 MAGNOLIA ST
LIBERTY, TX, 775753546
Browse TX providers · Browse ZIP 77575
Phone
9363368844
Primary Specialty
Occupational Therapist
225200000X

Other Occupational Therapist Providers in LIBERTY, TX

Name Credential NPI
MR. JOEL BRENT HENDERSON PTA 1184984270
MRS. DAWN O'LEARY PTA 1871969295
MONIQUE DEMOINE LIBURD 1326602038
NOAH MANUEL PALOMINO PTA 1235785197
LENITA D BROUSSARD PTA 1346856564
MICHELLE JOHNSTON 1548914567
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.