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NPI Code Detail

MEDICARE: COLLEEN WELKER OTR/L

MEDICARE:   COLLEEN  WELKER  OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist124633TX

General Provider Information

NPI Number : 1023577608
Entity Type Code : Individual
Provider Name (Legal Business Name) : COLLEEN WELKER OTR/L
Provider Business Mailing Address
First Line : 3551 ROGER BROOKE DR
Second Line :
City : FORT SAM HOUSTON
State : TX
Zip : 78234-4504
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3551 ROGER BROOKE DR
Second Line :
City : FORT SAM HOUSTON
State : TX
Zip : 78234-4504
Country : US
Telephone Number : 440-364-1604
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/13/2019
Last Update Date : 01/26/2026

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Directions to “ COLLEEN WELKER OTR/L” Practice Location

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