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

Shelby Marie Stark, COTA/L

Individual provider Occupational Therapy Assistant · NPI 1366299802

Shelby Marie Stark, COTA/L is an Occupational Therapy Assistant in Cape Girardeau, Missouri. Licensed in Missouri. Registered with an NPI since 2024.

Licensed in
MO
In the registry since
2024
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

2400 Veterans Memorial Dr
Cape Girardeau, MO 63701-9620
Phone: (573) 290-5870
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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 2012018295 (MO)

Record details

NPI number1366299802
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA/L
Sole proprietorNo
NPI enumeratedMay 2, 2024
Last updated in NPPESMay 2, 2024
Certification dateMay 2, 2024

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