Individual
SHAILEE STREVY ALLCORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
201 PARKS VILLAGE DR, ODESSA, TX 79765-9002
(432) 348-8047
Mailing address
3603 SPRINGMONT DR, MIDLAND, TX 79707-4113
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
215705
TX
Other
Enumeration date
11/18/2024
Last updated
11/18/2024
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