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

Courtney Shaddock

Individual provider Occupational Therapy Assistant · NPI 1902569387

Courtney Shaddock is an Occupational Therapy Assistant in Lumberton, North Carolina. Licensed in North Carolina. Registered with an NPI since 2021.

Licensed in
NC
In the registry since
2021

Practice location Address checks out

550 Bailey Rd Ste 401
Lumberton, NC 28358-2424
Phone: (910) 674-4363
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 14519 (NC)

Record details

NPI number1902569387
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 21, 2021
Last updated in NPPESOctober 21, 2021
Certification dateOctober 21, 2021

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