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Individual

MRS. CHARLOTTE A TOLIVER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RECREATION THERAPIST

Contact information

Practice address
16710 QUAIL VIEW CT, MISSOURI CITY, TX 77489-5707
(281) 658-4025
Mailing address
16710 QUAIL VIEW CT, MISSOURI CITY, TX 77489-5707
(281) 658-4025

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
TX
253Z00000X
In Home Supportive Care Agency
TX

Other

Enumeration date
08/18/2014
Last updated
08/18/2014
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