Individual
SHAMYIAH STONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6601 HARRIS PKWY, FORT WORTH, TX 76132-6108
(817) 738-9866
Mailing address
504 N EDWARDS ST, MALDEN, MO 63863-1656
Taxonomy
Speciality
Code
Description
License number
State
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
123202
TX
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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