Basic Information
| Provider Information | |||||||||
| NPI: | 1962510685 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SHVEIMA | ||||||||
| FirstName: | ANNA | ||||||||
| MiddleName: | VICTORIA | ||||||||
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| Credential: | OTR | ||||||||
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| Mailing Information | |||||||||
| Address1: | 118 DEVENSHIRE DR | ||||||||
| Address2: | |||||||||
| City: | MURPHY | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750944233 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2145078372 | ||||||||
| FaxNumber: | 2144740142 | ||||||||
| Practice Location | |||||||||
| Address1: | 1201 E 15TH ST | ||||||||
| Address2: | SUITE 304 | ||||||||
| City: | PLANO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750746238 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9724240148 | ||||||||
| FaxNumber: | 9724225275 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/25/2006 | ||||||||
| LastUpdateDate: | 07/09/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225X00000X | 108875 | TX | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist |
No ID Information.