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

Mrs. Shelly Lynn Flanigan, COTA/L

Individual provider Occupational Therapy Assistant · NPI 1598025710

Mrs. Shelly Lynn Flanigan, COTA/L is an Occupational Therapy Assistant in Lakeport, California. Practices as a sole proprietor. Licensed in California and Illinois.

Licensed in
CA, IL
In the registry since
2012
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

170 Island View Dr
Lakeport, CA 95453-6456
Phone: (618) 204-1624
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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 OTA3657 (CA)
Occupational Therapy Assistant Taxonomy 224Z00000X · Licence 057003350 (IL)

Record details

NPI number1598025710
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA/L
Sole proprietorYes
NPI enumeratedMay 22, 2012
Last updated in NPPESApril 20, 2017

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