Individual
REDA AHMAD SHIHADEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
200 WOODFIELD LN, SAINT JOHNS, FL 32259-6302
(904) 874-1223
Mailing address
200 WOODFIELD LN, SAINT JOHNS, FL 32259-6302
(904) 874-1223
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
6341
FL
Other
Enumeration date
09/26/2025
Last updated
09/26/2025
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