Individual
MRS. SHAWN MICHELE NEELY-OTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
12709 BELLA PKWY, MANOR, TX 78653-4597
(512) 382-5306
Mailing address
12709 BELLA PKWY, MANOR, TX 78653-4597
(512) 382-5306
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
208922
TX
Other
Enumeration date
05/05/2008
Last updated
05/05/2008
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