Individual
ASHLEY SHELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
100 E FERGUSON ST, TYLER, TX 75702-5759
(903) 509-2040
Mailing address
2535 LONE STAR DR, DALLAS, TX 75212-6313
(214) 467-9787
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
209323
TX
Other
Enumeration date
06/15/2017
Last updated
06/15/2017
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