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Contact Information

KIM E SHAFFER, COTA/L
4200 SHEPHERD LANE
BALCH SPRINGS, TX75180
 Phone: 972-288-7668
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapy Assistant

224Z00000X
Indicates primary specialty

NPI Profile & details for KIM E SHAFFER · (Female)

NPI Number 1780984906
Status Active
Credentials COTA/L (Licensed Certified Occupational Therapy Assistant )
Entity Individual
Enumeration date 10/22/2010
Last updated 10/22/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # OTA 1464
  • TX License # 210886
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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