Individual
SHANDAH STAR SHINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
313 W WILLINGHAM ST, CLEBURNE, TX 76033-4820
(682) 260-3005
Mailing address
313 W WILLINGHAM, CLENURNE, TX 76033
(682) 260-3005
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
216970
TX
Other
Enumeration date
11/10/2021
Last updated
11/10/2021
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