Individual
JODIE BYBEE WELCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT,LOT
Contact information
Practice address
740 W DIVISION ST, BLOSSOM, TX 75416-2733
(409) 539-1184
Mailing address
740 W DIVISION ST, BLOSSOM, TX 75416-2733
(409) 539-1184
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
114237
TX
Other
Enumeration date
04/03/2019
Last updated
04/03/2019
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