Individual
SHANTAE MATHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
5746 LONG ARBOR LN, KATY, TX 77449-6399
(330) 244-7969
Mailing address
5746 LONG ARBOR LN, KATY, TX 77449-6399
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
214810
TX
Other
Enumeration date
11/17/2017
Last updated
11/17/2017
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