Individual
STACEY LYNN SHEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOTR
Contact information
Practice address
11777 KATY FWY, HOUSTON, TX 77079-1703
(281) 558-5437
(281) 558-5443
Mailing address
11777 KATY FWY, HOUSTON, TX 77079-1703
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
114441
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
91174848
—
CO
Enumeration date
07/18/2006
Last updated
01/06/2012
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