Individual
SHAWN ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4312 S 31ST ST, TEMPLE, TX 76502-3313
(254) 771-2350
Mailing address
4109 HIGHWAY 98 W, SUMMIT, MS 39666-9132
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
207908
TX
Other
Enumeration date
05/17/2011
Last updated
12/09/2019
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