Individual
SHERI SHIRLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3200 TROUP HWY, STE. 120, TYLER, TX 75701-8397
(903) 721-0815
Mailing address
551 FM 1248 S, RUSK, TX 75785-5226
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
208634
TX
Other
Enumeration date
06/15/2007
Last updated
08/15/2014
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