Individual provider · NPI-1

Irby Baudouin, MOT, OTR

Occupational Therapist · The Woodlands, TX

NPI number1902183502
StatusActive
Last updated in NPPESNov 10, 2011

Details

NPI
1902183502
Entity type
Individual (NPI-1)
Name
Mr. Irby Baudouin
Credential
MOT, OTR
Sex
Male
Sole proprietor
No
Enumeration date
Nov 10, 2011
Last updated
Nov 10, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational Therapist111869TXYes

Practice location

1014 Windsor Lakes Blvd
The Woodlands, TX 77384-4886

Phone 936-273-9424

Mailing address

1014 Windsor Lakes Blvd
The Woodlands, TX 77384-4886

Phone 936-273-9424

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