Individual
KARI LEAH SHIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
300 W HWY 6, WACO, TX 76712
(254) 761-8500
Mailing address
980 NW COUNTY ROAD 3331, FROST, TX 76641-3454
(712) 790-9807
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
113319
TX
Other
Enumeration date
02/20/2020
Last updated
02/20/2020
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