Individual
MRS. CAROL ANN SHIRLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.O.T.A.
Contact information
Practice address
3032 DUNHILL DRIVE, COCOA, FL 32926
(321) 639-6086
Mailing address
3032 DUNHILL DR, COCOA, FL 32926-5892
(321) 639-6086
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA 328
FL
Other
Enumeration date
01/27/2012
Last updated
01/27/2012
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