Individual
MRS. CHERYL HUNTLEY WIDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
17045 EL CAMINO REAL, SUITE 106, HOUSTON, TX 77058-2649
(281) 480-5648
(281) 480-5691
Mailing address
1212 103RD ST, GALVESTON, TX 77554-9591
(281) 480-5648
(281) 480-5691
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
104110
TX
Other
Enumeration date
02/09/2007
Last updated
07/08/2007
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