Justin Wallace Thiberville
Occupational Therapy Assistant
4601 Hartford St
Abilene
, Texas 79605-4603
Justin Wallace Thiberville
Occupational Therapy Assistant
4601 Hartford St
Abilene
, Texas 79605-4603
(325) 793-3587
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About
Features
Specialties
- Occupational Therapy Assistant
Languages spoken
- English
Location
First Address
- Justin Wallace Thiberville
- 4601 Hartford St
- Abilene, TX
- Zip : 79605-4603
- Fax : (325) 793-3587
- Phone : (325) 793-3400
Second Address
- Justin Wallace Thiberville
- 4601 Hartford St
- Abilene, TX
- Zip : 79605-4603
- Fax : (325) 793-3587
- Phone : (325) 793-3400
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 111790 | TX |
National Provider Identifier
| NPI | 1033287099 |
|---|---|
| Provider Name | Justin Wallace Thiberville |
| First Address | Abilene, TX 79605-4603 |
| Second Address | Abilene, TX 79605-4603 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/11/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.