MR. Kent C. Shields, COTA/L
NPI #1972837599 in Corry, Pennsylvania
Provider Information
- NPI Number
- 1972837599
- Entity Type
- Individual
- Name
- MR. Kent C. Shields, COTA/L
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapy Assistant
- Credential
- COTA/L
- Enumeration Date
- Sep 29, 2009
- Last Updated
- Sep 29, 2009
Practice Location
- Address
- 640 WORTH ST
- City
- Corry
- State
- Pennsylvania
- ZIP Code
- 16407-8515
- Phone
- (814) 664-3830
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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