Individual
MRS. SHELLY RANAE CRIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
225 W MAIN ST, SHELBY, OH 44875-1412
(419) 347-1266
Mailing address
225 W MAIN ST, SHELBY, OH 44875-1412
(419) 347-1266
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
05440
OH
Other
Enumeration date
02/21/2012
Last updated
02/22/2012
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