Individual
CODY REID SHIRLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS, COTA/L
Contact information
Practice address
690 MOUNT VERNON HWY NE, ATLANTA, GA 30328-4221
(404) 843-8857
Mailing address
903 PEACHTREE ST NE UNIT 1409, ATLANTA, GA 30309-4892
(228) 861-1083
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
04/12/2023
Last updated
04/12/2023
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