Individual
MRS. SAWYER RAE SHAMBURGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
208 NORTH PRAIRE ST, PILOT POINT, TX 73401
(940) 324-6620
(940) 324-6624
Mailing address
3232 OLD HIGHWAY 70, ARDMORE, OK 73401
(903) 388-6563
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
211887
TX
Other
Enumeration date
08/10/2018
Last updated
08/10/2018
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