Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Bradley Shane Edwards, COTA

Individual provider Occupational Therapy Assistant · NPI 1043853351

Bradley Shane Edwards, COTA is an Occupational Therapy Assistant in Wilson, North Carolina. Licensed in North Carolina. Registered with an NPI since 2019.

Licensed in
NC
In the registry since
2019
What do these letters mean?
COTA — Certified Occupational Therapy Assistant
Delivers treatment under an occupational therapist's direction.

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Practice location Address checks out

3501 Senior Village Ln NW
Wilson, NC 27896-9618
Phone: (252) 243-3186
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 12312 (NC)

Record details

NPI number1043853351
Entity typeIndividual (Type 1)
GenderMale
Credentials COTA
Sole proprietorNo
NPI enumeratedOctober 21, 2019
Last updated in NPPESOctober 21, 2019

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