IndividualActive
Charis Shephard, COTA/L
NPI 1306724745 · Occupational Therapy Assistant · Carrollton, GA
Provider details
- NPI number
- 1306724745
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA/L
- Sex
- Female
- Sole proprietor
- Yes
- License
- OTA002282 (GA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2327 N Highway 27
Carrollton, GA 30117-6701
Phone: (770) 834-4404
Approximate (ZIP-level) locationGet directions
Mailing address
9975 Neuchatel Cres
Jonesboro, GA 30238-6596
Registry dates
- Enumerated
- 2025-08-25
- Last updated
- 2025-08-25
- Certified
- 2025-08-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.