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2415 W Pecan St Ste 100 Pflugerville TX 78660-3670 | |
| (512) 251-3230 | |
| (512) 251-8760 |
| Full Name | |
|---|---|
| Speciality | Occupational Therapist - Pediatrics |
| Location | 2415 W Pecan St Ste 100, Pflugerville, Texas |
| Authorized Official Name and Position | Kathleen Duke Shaffer (OWNER/DIRECTOR) |
| Authorized Official Contact | 5122513230 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2415 W Pecan St Ste 100 Pflugerville TX 78660-3670 Ph: (512) 251-3230 | 2415 W Pecan St Ste 100 Pflugerville TX 78660-3670 Ph: (512) 251-3230 |
| NPI Number | 1730368028 |
|---|---|
| Provider Enumeration Date | 11/02/2007 |
| Last Update Date | 06/19/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730368028 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 225XP0200X | Occupational Therapist - Pediatrics | (* (Not Available)) | Primary |
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