Individual
SHANNON ATTEBERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
14651 DALLAS PKWY STE 200, DALLAS, TX 75254-8856
(866) 919-3240
Mailing address
196 COUNTY ROAD 4859, NEWARK, TX 76071-3422
(845) 625-3803
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
214844
TX
Other
Enumeration date
10/31/2017
Last updated
09/17/2021
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