Cody Reid Shirley, BS, COTA/L
Occupational Therapy Assistant in Atlanta, GA. Individual provider (NPI-1).
NPI number1154017374
StatusActive
Last updated in NPPESApr 12, 2023
Details
- NPI
- 1154017374
- Entity type
- Individual (NPI-1)
- Name
- Cody Reid Shirley
- Credential
- BS, COTA/L
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 12, 2023
- Certification date
- Apr 12, 2023
- Last updated
- Apr 12, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224Z00000X | Occupational Therapy Assistant | – | – | Yes |
Practice location
690 Mount Vernon Hwy NeAtlanta, GA 30328-4221
Phone 404-843-8857
Mailing address
903 Peachtree St Ne Unit 1409Atlanta, GA 30309-4892
Phone 228-861-1083
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All 45 Occupational Therapy Assistant providers in Atlanta · All 39,648 providers in Atlanta
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