Individual
MS. SHELLEY DANIELLE TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
8632 FREDERICKSBURG ROAD, #212, SAN ANTONIO, TX 78240
(210) 471-1959
Mailing address
21002 EL SUELO BUENO, SAN ANTONIO, TX 78258
(210) 471-1959
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OT 107144
TX
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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