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

CHARLENE TIDWELL, COTA/L

Active Sole Proprietor

CHARLENE TIDWELL, COTA/L is a Occupational Therapy Assistant healthcare provider located in SAN ANTONIO, Texas. NPI 1740772219 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · SAN ANTONIO, TX

Registration Details

NPI Number
1740772219
Provider Type
Individual
Gender
Female
NPI Issued
May 31, 2018 (8.2192846707225 yrs)
Last Updated
May 31, 2018
License
213729 (TX)
Sole Proprietor
Yes

Practice Information

Address
3201 CHERRY RIDGE ST STE D400
SAN ANTONIO, TX, 782304820
Browse TX providers · Browse ZIP 78230
Phone
2106920222
Primary Specialty
Occupational Therapy Assistant
224Z00000X

Other Occupational Therapy Assistant Providers in SAN ANTONIO, TX

Name Credential NPI
KELLY J FORMANEK COTA 1326069352
RICHARD R PEDRAZA 1922020254
MS. SANDRA ELSA GIDDENS COTA 1295837458
ADA L. JACKSON COTA 1093878969
BERTHA RENDON COTA 1699802850
MRS. REBECCA SUZANNE ELLIS C.O.T.A. 1700900735
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.