SHANNON DIESTO

CEDAR PARK, TX
NPI1417607649
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225XP0200X Occupational Therapist, Pediatrics
(Licence: TX  122512)
Additional Taxonomies225X00000X Occupational Therapist
(Licence: TX  122512)
Enumeration Date2022-03-29
Last Update Date2022-03-29
Business Address
Ms. SHANNON DIESTO OT
2423 S BELL BLVD
CEDAR PARK, TX 78613-4753
Phone number: 512-827-3601
Mailing Address
Ms. SHANNON DIESTO OT
PO BOX 171078
AUSTIN, TX 78717-0040
Phone number: 512-827-3601