Individual
MRS. SHAUNA LYNN BOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
4133 NE STALLINGS DR APT 304, NACOGDOCHES, TX 75965-1637
(936) 645-4174
Mailing address
4133 NE STALLINGS DR APT 304, NACOGDOCHES, TX 75965-1637
(936) 645-4174
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
212061
TX
Other
Enumeration date
09/14/2020
Last updated
09/14/2020
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