Individual
MR. CHARLES EDWARD SHOBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
19002 MCKAY DR, HUMBLE, TX 77338-5701
(281) 446-6148
Mailing address
5326 CEDAR LODGE CT, KINGWOOD, TX 77345-2049
(832) 380-0272
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
214927
TX
Other
Enumeration date
08/21/2018
Last updated
08/21/2018
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