Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Diane Simone Stukes, COTA/L

Individual provider Occupational Therapy Assistant · NPI 1831804525

Diane Simone Stukes, COTA/L is an Occupational Therapy Assistant in Augusta, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2023
Specialties on file
2
What do these letters mean?
COTA/L — Certified Occupational Therapy Assistant, Licensed
An occupational therapy assistant who is both certified and state licensed.

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Practice location Address checks out

3727 Executive Center Dr
Augusta, GA 30907-2398
Phone: (706) 842-5330
Fax: (706) 842-5340
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence RBT-23-252400 (GA)
Occupational Therapy Assistant Taxonomy 224Z00000X

Record details

NPI number1831804525
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA/L
Sole proprietorYes
NPI enumeratedJanuary 18, 2023
Last updated in NPPESJanuary 18, 2023
Certification dateSeptember 8, 2022

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