Individual
MRS. ANNETTE L SHIRLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA06630
Contact information
Practice address
30325 BAINBRIDGE RD, SUITE A-5, SOLON, OH 44139-2295
(440) 498-1100
Mailing address
24 VAN BUREN AVE, CUYAHOGA FALLS, OH 44221-1423
(234) 817-1363
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
OTA06630
OH
Other
Enumeration date
09/25/2016
Last updated
09/25/2016
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