Individual
EDISON WOODS HUBERT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
608 COYOTE TRAIL, ALICE, TX 78332
(361) 237-8938
Mailing address
4410 CLEARWATER DR, CORPUS CHRISTI, TX 78413-2620
(361) 237-8938
(361) 237-8938
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
202999
TX
Other
Enumeration date
09/27/2018
Last updated
09/27/2018
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