Individual provider · Type 1 NPI

Shelby Marie Stark, COTA/L

Occupational Therapy Assistant · Cape Girardeau, MO

NPI number 1366299802 Active

Practice location

2400 Veterans Memorial Dr
Cape Girardeau, MO 63701-9620

Call (573) 290-5870 Map

Mailing address

155 Pcr 912
St. Mary, MO 63673-7113

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X2012018295 (MO)

Occupational Therapy Assistant: 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 a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examinatio…

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About NPI 1366299802

Shelby Marie Stark, COTA/L's National Provider Identifier is 1366299802, issued on May 2, 2024. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Cape Girardeau, MO. The record was last updated on May 2, 2024.