Timothy Sean Shirley COTA/L

NPI 1235563156 - Occupational Therapy Assistant - 224Z00000X

NPI Details
NPI 1235563156
Gender Male
Enumeration Date 08/27/2013
Last Updated 08/27/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
27 SAN JOSE CIR
ORMOND BEACH FL, 32176-2411, US
Phone (386) 405-6586
Fax
Business Location
27 SAN JOSE CIR
ORMOND BEACH FL, 32176-2411, US
Phone (386) 405-6586
Fax
Toxanomy
Taxonomy Code 224Z00000X
License State Florida
License Number OTA12716
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According to our database, Mr. Timothy Sean Shirley COTA/L NPI is 1235563156, taxonomy code is 224Z00000X and license number is OTA12716, license state is located at Florida. Timothy Sean Shirley COTA/L physically located at 27 San Jose Cir, Ormond Beach FL, 32176-2411. NPI Number Timothy Sean Shirley COTA/L has the Individual type.

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1235563156 NPI number is provided on an as is basis without warranty of any kind. 1235563156 is maintained by the National Plan & Provider Enumeration System. The contents of Timothy Sean Shirley COTA/L are for informational purposes only.