JOHN CARLO SHUN BASE

GEORGETOWN, TX
NPI1720236896
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: TX  117013)
Enumeration Date2008-09-03
Last Update Date2017-02-13
Business Address
-- JOHN CARLO SHUN BASE OTR
359 VILLAGE COMMONS BLVD
GEORGETOWN, TX 78633-4448
Phone number: 512-277-6405
Mailing Address
-- JOHN CARLO SHUN BASE OTR
150 KLATTENHOFF LN APT 2104
HUTTO, TX 78634-4601
Phone number: 512-987-8718