| NPI | 1811622905 |
|---|---|
| Former Name | MEMORY ALANA SHETTLES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: AZ OTH-008607) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 120150) |
| Enumeration Date | 2022-07-21 |
| Last Update Date | 2022-07-21 |