Shannon Diesto, OT

NPI 1417607649 · on the registry since 2022

Practice

Address: 2423 S Bell Blvd
Cedar Park, TX 78613
Phone: (512) 827-3601
Fax: (512) 777-5042
Organisation at this address: Virtue Llc
Brtm-Ll Llc
Ll Pediatric Therapy Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 225XP0200X
225XP0200X
Also registered as: 225X00000X
Licence states on file: TX
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2022-03-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas