Individual
JULIE RENAE TIDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2900 STILLHOUSE RD, PARIS, TX 75462-2029
(903) 785-1601
Mailing address
595 NICOLE DR, PARIS, TX 75462-6031
(903) 249-9253
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
108883
TX
Other
Enumeration date
05/27/2024
Last updated
05/27/2024
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