Individual
SHEA MARIE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
900 WASHINGTON AVE STE 602, WACO, TX 76701-1283
(972) 756-0500
Mailing address
9535 TOKIO RD, WACO, TX 76705-5821
(254) 315-9451
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
407126
TX
Other
Enumeration date
08/21/2018
Last updated
08/21/2018
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