Matta, Shannon Marie

Matta, Shannon Marie is an individual health care provider with primary practice located at 1 Freedom Way , Augusta GA 30904. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Matta, Shannon Marie can be contacted via phone (706) 733-0188.

Contact Information

Primary practice address
1 Freedom Way Augusta GA 30904
Phone: (706) 733-0188
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X OTA000594 Georgia

Profile Details

NPI number 1376637074
LBN Legal business name Matta, Shannon Marie
Credentials Certified Occupational Therapy Assistant (COTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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