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1346754975
SHANTAE MATHIS
KATY, TX
NPI
1346754975
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TX 214810)
Enumeration Date
2017-11-17
Last Update Date
2017-11-17
Business Address
SHANTAE MATHIS OTA
5746 LONG ARBOR LN
KATY, TX 77449-6399
Phone number: 330-244-7969
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Mailing Address
SHANTAE MATHIS OTA
5746 LONG ARBOR LN
KATY, TX 77449-6399
Phone number:
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