Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SHANEQUIA DESHAWN CLEMONS
Active Sole ProprietorDR. SHANEQUIA DESHAWN CLEMONS is a Occupational Therapy Assistant healthcare provider located in LACKLAND AFB, Texas. NPI 1831605765 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · LACKLAND AFB, TX
Registration Details
- NPI Number
- 1831605765
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 14, 2017 (8.685698043923 yrs)
- Last Updated
- Nov 23, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
2180 REESE STLACKLAND AFB, TX, 782361042Browse TX providers · Browse ZIP 78236
- Phone
- 3059123482
- Primary Specialty
-
Occupational Therapy Assistant
225400000X
- Additional Specialty
- Peer Specialist
- Additional Specialty
- 374K00000X
- Additional Specialty
- Occupational Therapy Assistant
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.