Individual
HAYLEY ELLEN SHANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR, OTD
Contact information
Practice address
6207 SHERIDAN AVE, AUSTIN, TX 78723-1060
(737) 704-4234
(512) 334-4465
Mailing address
13101 BARRISTER AVE, BUDA, TX 78610-4060
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
122844
TX
Other
Enumeration date
08/15/2022
Last updated
02/28/2023
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