Shannon Marie Matta in Martinez - Occupational Therapy Assistant

Shannon Marie Matta - NPI 1376637074

Shannon Marie Matta is a Occupational Therapy Assistant in Martinez, Georgia. Shannon Marie Matta practices all healthcare services and medical treatments related to Occupational Therapy Assistant. The NPI Number for Shannon Marie Matta is 1376637074. The last update date is 2007-07-08.

Shannon Marie Matta's current location address is 4192 Quail Springs Circle, Martinez, Georgia. You can contact this provider via phone number 7067330188. The mailing address for Shannon Marie Matta is 4192 Quail Springs Circle, Martinez, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Shannon Marie Matta
Address 4192 Quail Springs Circle, Martinez, Georgia
Phone Number 7067330188
Fax Number
Sole Proprietor N
Credentials COTA

NPI Number Detail

NPI Number 1376637074
Provider Enumeration Date 2006-10-03
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 4192 Quail Springs Circle
City Martinez
State Georgia (GA)
Post Code 30907
Phone Number 7067330188
Fax Number

Provider's Primary Taxonomy Detail

Speciality Occupational Therapy Assistant
Taxonomy 224Z00000X
Licence No OTA000594
Definition:
An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed

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FAQs about Shannon Marie Matta

What is the Shannon Marie Matta's unique identification number?

The Shannon Marie Matta has been assigned the NPI (National Provider Identifier) Number 1376637074 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical address where Shannon Marie Matta is geographically located?

The Shannon Marie Matta is physically situated at the following location: 4192 Quail Springs Circle, Martinez, GA, 30907.

What is Shannon Marie Matta's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Shannon Marie Matta is Occupational Therapy Assistant, and the taxonomy code that classifies this field of practice is 224Z00000X.

On what date did Shannon Marie Matta receive its 1376637074 assignment from the Centers for Medicare & Medicaid Services?

The Shannon Marie Matta was assigned its 1376637074 on 2006-10-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Shannon Marie Matta most recently updated or refreshed?

The details pertaining to the Shannon Marie Matta, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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