Individual
SHELLY O'DELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1 PEACHTREE DR, SAVANNAH, GA 31419
(740) 504-4278
Mailing address
1 PEACHTREE DR, SAVANNAH, GA 31419-1200
(740) 504-4278
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA002266
GA
224Z00000X
Occupational Therapy Assistant
OTA02038
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
224ZOOOOOX
ALL PROVIDERS
OH
Enumeration date
08/01/2017
Last updated
09/05/2018
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