Individual
SHELLY L VIDAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT BS
Contact information
Practice address
2555 NC-96, FRANKLINTON, NC 27525
(919) 528-0033
Mailing address
385 HICKORY RUN LN, FRANKLINTON, NC 27525-8471
(919) 930-5112
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6904
NC
225X00000X
Occupational Therapist
Primary
OT790
ME
Other
Enumeration date
09/14/2006
Last updated
05/01/2026
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