Individual
SHARI SIDDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L-CLT
Contact information
Practice address
1105 6TH ST, TRAVERSE CITY, MI 49684-2345
(231) 935-7351
Mailing address
4408 N 45 1/2 RD, MANTON, MI 49663-9436
(616) 402-9089
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
03/01/2018
Last updated
03/01/2018
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