Individual
SHELLY BAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
5225 S. LOOP 286, SUITE 210, LUBBOCK, TX 79424-1319
(806) 780-4180
Mailing address
5225 S. LOOP 289 SUITE 210, SENTRY PLAZA TWO, LUBBOCK, TX 79424
(806) 780-4180
(806) 744-7458
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
209127
TX
Other
Enumeration date
10/24/2014
Last updated
10/24/2014
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