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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. SHELLY LYNN FLANIGAN, COTA/L

Active Sole Proprietor

MRS. SHELLY LYNN FLANIGAN, COTA/L is a Occupational Therapy Assistant healthcare provider located in LAKEPORT, California. NPI 1598025710 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · LAKEPORT, CA

Registration Details

NPI Number
1598025710
Provider Type
Individual
Gender
Female
NPI Issued
May 22, 2012 (14.194945835746 yrs)
Last Updated
Apr 20, 2017
Licenses
057003350 (IL)
OTA3657 (CA)
Sole Proprietor
Yes

Practice Information

Address
170 ISLAND VIEW DR
LAKEPORT, CA, 954536456
Browse CA providers · Browse ZIP 95453
Phone
6182041624
Primary Specialty
Occupational Therapy Assistant
224Z00000X

Other Occupational Therapy Assistant Providers in LAKEPORT, CA

Name Credential NPI
EVAN JOHN BETTEY COTA/L 1598279259
KELLY JEAN EVENSON 1487264651
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.