SHELLY BLACK

AMARILLO, TX
NPI1588172613
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: TX  207384)
Enumeration Date2018-01-10
Last Update Date2018-01-10
Business Address
SHELLY BLACK COTA/CLT
5111 CANYON DR
AMARILLO, TX 79110-3037
Phone number: 806-212-0741
Mailing Address
SHELLY BLACK COTA/CLT
5111 CANYON DR
AMARILLO, TX 79110-3037
Phone number:
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