Individual
MRS. KATHLEEN DUKE SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR-L
Contact information
Practice address
2415 W PECAN ST #100, PFLUGERVILLE, TX 78660-3670
(512) 251-3230
(512) 251-8760
Mailing address
2415 W PECAN ST #100, PFLUGERVILLE, TX 78660-3670
(512) 251-3230
(512) 251-8760
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
111233
TX
225XP0200X
Pediatric Occupational Therapist
111233
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
176646101
—
TX
01
—
8T6897
BCBS
TX
Enumeration date
05/04/2006
Last updated
05/24/2023
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