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

Cicely Tynette Anderson, COTA

Individual provider Occupational Therapy Assistant · NPI 1619526548

Cicely Tynette Anderson, COTA is an Occupational Therapy Assistant in Decatur, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
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

4115 Glenwood Rd
Decatur, GA 30032-4727
Phone: (404) 284-6414
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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 OTA002368 (GA)

Record details

NPI number1619526548
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA
Sole proprietorYes
NPI enumeratedSeptember 4, 2019
Last updated in NPPESSeptember 4, 2019

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