Shawna C Braswell, COTA/L
Individual provider Active NPI Occupational Therapy Assistant · Artesia, NM
NPI 1205257151 · NPPES record last updated Dec 19, 2013
Key facts
- NPI
- 1205257151
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 1020 (NM)
- Practice address
- 1725 Savannah Dr
Artesia, NM 88210-9622 - Phone
- (575) 746-9648
- NPI assigned
- Dec 19, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 1020 | NM | Yes |
Addresses
Primary practice location
1725 Savannah Dr
Artesia, NM 88210-9622
Mailing address
1725 Savannah Dr
Artesia, NM 88210-9622
Phone (575) 746-9648
Other providers in Artesia, NM
- Blue Star Therapy, LLC
- Kylar M Boggs
- Gerald E Boone
- Cierra Boyce
- Angelica R Branch
- Amber Leigh Bratcher
- Mary Angelica Bratcher
- Patti C Bratten
- Linda Mack Brewer
- Bridge Inc.
All providers in Artesia, NM · Occupational Therapy Assistant in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 19, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.