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Search › Texas › 224Z00000X

Shannon Baldwin, COTA/L

NPI 1992364129 · on the registry since 2019 · sole proprietor

Practice

Address
470 Moore Dr
Vidor, TX 77662
Phone
(409) 769-2454
Organisation at this address
Vidor Manor Nursing Home Inc
Liberty County Hospital District No. 1
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-06-11

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