Individual
MRS. SHAYNA ALYSSA HOUSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
9210 S RACINE AVE, CHICAGO, IL 60620-3616
(312) 478-6025
Mailing address
9210 S RACINE AVE, CHICAGO, IL 60620-3616
(312) 478-6025
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.004120
IL
Other
Enumeration date
03/05/2020
Last updated
03/05/2020
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