Shackelford, Crystal Lauren

Shackelford, Crystal Lauren is an individual health care provider with primary practice located at 1100 Hidden Valley Dr , Round Rock TX 78665-1565. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Shackelford, Crystal Lauren can be contacted via phone (512) 576-5909.

Contact Information

Primary practice address
1100 Hidden Valley Dr Round Rock TX 78665-1565
Phone: (512) 576-5909
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X

Profile Details

NPI number 1629557277
LBN Legal business name Shackelford, Crystal Lauren
Credentials Certified Occupational Therapy Assistant (COTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2018
Last updated Aug 13th, 2018 - about 7 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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