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

Tywanna Shardae Blackwell, COTA/L

Individual provider Occupational Therapy Assistant · NPI 1639869613

Tywanna Shardae Blackwell, COTA/L is an Occupational Therapy Assistant in Abbeville, South Carolina. Licensed in South Carolina. Registered with an NPI since 2023.

Licensed in
SC
In the registry since
2023
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

83 Thomson Cir
Abbeville, SC 29620-5652
Phone: (864) 366-5122
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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 5347 (SC)

Record details

NPI number1639869613
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA/L
Sole proprietorNo
NPI enumeratedMay 11, 2023
Last updated in NPPESMay 11, 2023
Certification dateMay 11, 2023

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