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Individual
SHELLEY JANECKA
Active
Individual
SHELLEY JANECKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
118968
TX
225XH1200X
Hand Occupational Therapist
—
—
225XN1300X
Neurorehabilitation Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
118968
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
118968
OT LICENSE
TX
05
—
348743601
—
TX
Enumeration date
02/22/2018
Last updated
03/29/2022
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