Individual
SHADWICK WEBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
200 RIVERSIDE DR, UVALDE, TX 78801-5727
(954) 243-6735
Mailing address
5565 MANSIONS BLFS APT 5501, SAN ANTONIO, TX 78245-0028
(954) 243-6735
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
213653
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
213653
TEXAS BOARD OF OCCUPATIONAL THERAPY EXAMINERS
TX
Enumeration date
09/03/2018
Last updated
09/03/2018
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