Provider Demographics
NPI:1417323395
Name:PASHALL, SHIRLEY FAY (COTA/L)
Entity Type:Individual
Prefix:MS
First Name:SHIRLEY
Middle Name:FAY
Last Name:PASHALL
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Gender:F
Credentials:COTA/L
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Mailing Address - Street 1:5311 LONGWOOD AVE
Mailing Address - Street 2:PARMA CITY SCHOOLS SPECIAL ED DEPARTMENT
Mailing Address - City:PARMA
Mailing Address - State:OH
Mailing Address - Zip Code:44134
Mailing Address - Country:US
Mailing Address - Phone:440-842-5300
Mailing Address - Fax:440-842-2634
Practice Address - Street 1:5311 LONGWOOD AVE
Practice Address - Street 2:PARMA CITY SCHOOLS
Practice Address - City:PARMA
Practice Address - State:OH
Practice Address - Zip Code:44134
Practice Address - Country:US
Practice Address - Phone:440-842-5300
Practice Address - Fax:440-842-2637
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-14
Last Update Date:2015-08-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OHOTA01968224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant