Individual
MRS. TOBIE MICHELLE WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
251 FM 1953, GROESBECK, TX 76642-2921
(254) 652-7945
Mailing address
251 FM 1953, GROESBECK, TX 76642-2921
(254) 652-7945
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
214650
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
JEA011507230
BCBS
TX
Enumeration date
07/16/2019
Last updated
07/16/2019
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