Individual
DR. AUDREY GENEANE SIDERS
Active
Individual
DR. AUDREY GENEANE SIDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DROT, OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
15-0595
NV
225X00000X
Occupational Therapist
5201007621
MI
Other
Enumeration date
01/15/2015
Last updated
06/16/2026
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