Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. SHANNON MARIE MATTA, COTA
ActiveMRS. SHANNON MARIE MATTA, COTA is a Occupational Therapy Assistant healthcare provider located in AUGUSTA, Georgia. NPI 1376637074 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · AUGUSTA, GA
Registration Details
- NPI Number
- 1376637074
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 3, 2006 (19.824294638371 yrs)
- Last Updated
- Jul 8, 2007
- License
-
OTA000594 (GA)
Practice Information
- Address
-
1 FREEDOM WAYAUGUSTA, GA, 30904Browse GA providers · Browse ZIP 30904
- Phone
- 7067330188
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Other Occupational Therapy Assistant Providers in AUGUSTA, GA
| Name | Credential | NPI |
|---|---|---|
| THOMAS OBERRY | — | 1457390643 |
| MELISSA STARK | COTA | 1386891513 |
| MR. JAMES WALKER PENLAND JR. | COTA/L | 1962731950 |
| ALEXIS VONTICE SMALLEY | — | 1396089066 |
| WALTRINA CHANCE | COTA | 1659617272 |
| SUSAN CAROL WISE | COTA/L | 1275875163 |
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.