Individual
TERRI SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
300 W HAVEN ST, WEST, TX 76691-1011
(254) 826-5354
Mailing address
20488 N FM 709, HUBBARD, TX 76648-2925
(903) 654-0146
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
205333
TX
Other
Enumeration date
08/22/2018
Last updated
08/22/2018
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