Individual
SHIRLEY WENDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
401 E BLUE BELL RD, BRENHAM, TX 77833-2407
(979) 836-6611
Mailing address
601 E BLUE BELL, BRENHAM, TX 77833
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
208904
TX
Other
Enumeration date
02/18/2019
Last updated
02/18/2019
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