Individual provider · Type 1 NPI

Charlene Tidwell, COTA/L

Occupational Therapy Assistant · San Antonio, TX

NPI number 1740772219 Active

Practice location

3201 Cherry Ridge St Ste D400
San Antonio, TX 78230-4820

Mailing address

3711 Medical Dr Apt 2537
San Antonio, TX 78229-2349

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X213729 (TX)

Occupational Therapy Assistant: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examinatio…

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About NPI 1740772219

Charlene Tidwell, COTA/L's National Provider Identifier is 1740772219, issued on May 31, 2018. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in San Antonio, TX. The record was last updated on Sep 29, 2026.