Individual
ALEXANDRA SHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1300 E 2ND ST, GRANBURY, TX 76048-1496
(817) 408-3800
Mailing address
1556 STETSON DR, WEATHERFORD, TX 76087-2165
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
213507
TX
Other
Enumeration date
08/17/2018
Last updated
08/17/2018
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