Individual
ANDREW DAVID WESBROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1301 RANCH RD 12, SAN MARCOS, TX 78666
(208) 598-1405
Mailing address
702 CELEBRATION WAY APT 7108, SAN MARCOS, TX 78666-1284
(956) 898-1185
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
218685
TX
Other
Enumeration date
08/11/2025
Last updated
08/11/2025
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