IndividualActive
Shane Hall, COTA
NPI 1205429073 · Low Vision Occupational Therapy Assistant · Media, PA
Provider details
- NPI number
- 1205429073
- Entity type
- Individual
- Primary specialty
- Low Vision Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA
- Sex
- Male
- Sole proprietor
- Yes
- License
- OP008316 (PA)
Mailing address
318 S Orange St
Media, PA 19063-3614
Registry dates
- Enumerated
- 2021-02-12
- Last updated
- 2021-02-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.