Individual
SHAYNA MARIE SIDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1151 COLLEGE AVE, COLUMBUS, OH 43209-2827
(614) 231-4900
Mailing address
1151 COLLEGE AVE, COLUMBUS, OH 43209-2827
(614) 231-4900
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
08548
OH
Other
Enumeration date
12/27/2012
Last updated
12/27/2012
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