Diesto, Shannon

Diesto, Shannon is an individual health care provider with primary practice located at 2423 S Bell Blvd , Cedar Park TX 78613-4753. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics is her primary health care specialty. Diesto, Shannon can be contacted via phone (512) 827-3601.

Contact Information

Primary practice address
2423 S Bell Blvd Cedar Park TX 78613-4753
Phone: (512) 827-3601
Fax: (512) 777-5042
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 122512 Texas
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 122512 Texas

Profile Details

NPI number 1417607649
LBN Legal business name Diesto, Shannon
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2022
Last updated Mar 29th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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