Individual
MR. KERRY SHIDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT/L
Contact information
Practice address
5000 ROCKSIDE RD STE 400, INDEPENDENCE, OH 44131-6826
(216) 642-6044
Mailing address
10325 WANDA CIR NE, HARTVILLE, OH 44632-9776
(330) 936-2200
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-003737
OH
Other
Enumeration date
06/19/2007
Last updated
04/30/2019
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