Individual
SHANNON D NIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTA
Contact information
Practice address
318 W BELT LINE RD, CEDAR HILL, TX 75104-1104
(972) 349-1313
Mailing address
318 W BELT LINE RD, CEDAR HILL, TX 75104-1104
(972) 349-1313
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
214328
TX
Other
Enumeration date
08/28/2018
Last updated
08/28/2018
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