Individual
SHATECHA MICHELLE GILLESPIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3400 N LOOP 336 W APT 721, CONROE, TX 77304-3467
(864) 920-8491
Mailing address
3400 N LOOP 336 W APT 721, CONROE, TX 77304-3467
(864) 920-8491
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
217017
TX
Other
Enumeration date
03/07/2023
Last updated
03/07/2023
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