Individual provider · Type 1 NPI

Courtney Shaddock

Occupational Therapy Assistant · Lumberton, NC

NPI number 1902569387 Active

Practice location

550 Bailey Rd Ste 401
Lumberton, NC 28358-2424

Mailing address

715 S 11th St
Wilmington, NC 28401-5326

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X14519 (NC)

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 1902569387

Courtney Shaddock's National Provider Identifier is 1902569387, issued on Oct 21, 2021. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Lumberton, NC. The record was last updated on Oct 21, 2021.