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Organization

SWATT LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHONTRELL WATT OTR/L (OCCUPATIONAL THERAPIST)
(901) 921-4997
Entity
Organization

Contact information

Practice address
13027 MAKERS DR, FRISCO, TX 75035-1597
(901) 921-4997
Mailing address
8700 STONEBROOK PKWY UNIT 388, FRISCO, TX 75034-5659
(901) 921-4997

Taxonomy

Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1871882316
TX
Enumeration date
11/06/2023
Last updated
11/06/2023
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