Individual
MRS. AMY PATRICE SHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2395 BULVERDE RD, SUITE 104, BULVERDE, TX 78163-4571
(830) 980-6880
Mailing address
31467 SMITHSON VALLEY RD, BULVERDE, TX 78163
(830) 438-3783
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
110020
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8T3179
BCBS
—
01
—
8T4330
BCBS
—
Enumeration date
04/12/2007
Last updated
02/13/2008
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