SHANNON MARIE MATTA

AUGUSTA, GA
NPI1376637074
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: GA  OTA000594)
Enumeration Date2006-10-03
Last Update Date2007-07-08
Business Address
Mrs. SHANNON MARIE MATTA COTA
1 FREEDOM WAY
AUGUSTA, GA 30904
Phone number: 706-733-0188
Mailing Address
Mrs. SHANNON MARIE MATTA COTA
4192 QUAIL SPRINGS CIRCLE
MARTINEZ, GA 30907
Phone number: 706-733-0188
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