Individual
SETH BIDLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
11154 ROAD 230, CECIL, OH 45821-9309
(419) 438-5026
Mailing address
11154 ROAD 230, CECIL, OH 45821-9309
(419) 438-5026
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
AT003966
OH
225XP0019X
Physical Rehabilitation Occupational Therapist
31007078A
IN
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
OT011233
OH
Other
Enumeration date
01/30/2020
Last updated
12/18/2024
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