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

STACI TIBBS WILSON, OTR, MOT, CHES

Active Sole Proprietor

STACI TIBBS WILSON, OTR, MOT, CHES is a Low Vision Occupational Therapist healthcare provider located in PEARLAND, Texas. NPI 1598163511 is currently active in the NPPES registry. Verify at CMS.

Low Vision Occupational Therapist · PEARLAND, TX

Registration Details

NPI Number
1598163511
Provider Type
Individual
Gender
Female
NPI Issued
Dec 8, 2014 (11.710545357072 yrs)
Last Updated
Feb 4, 2022
License
112297 (TX)
Sole Proprietor
Yes

Practice Information

Address
13212 LONE CREEK LN
PEARLAND, TX, 775843476
Browse TX providers · Browse ZIP 77584
Phone
7132803663
Fax
8557107269
Primary Specialty
Low Vision Occupational Therapist
225XL0004X
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.