Individual
MS. SANDRA LYNN SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
4402 WILLIAMS DR STE 115, GEORGETOWN, TX 78628-1388
(512) 256-7627
Mailing address
1615 MEADOW LN, TAYLOR, TX 76574-1338
(254) 855-3023
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
213610
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
09/28/2017
Last updated
09/28/2017
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