SHELLY VIDAS, OT
Occupational Therapist
Active
Individual
NPI: 1912002098
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Occupational Therapist | 225X00000X | Yes | OT790 (ME) |
Frequently Asked Questions
NPI 1912002098 is the National Provider Identifier for SHELLY VIDAS, OT, a Occupational Therapist provider located in Bangor, ME. This NPI was enumerated on September 14, 2006.
SHELLY VIDAS, OT practices at 890 HAMMOND ST, Bangor, ME 04401.
Quick Facts
- NPI
- 1912002098
- Type
- Individual
- Enumerated
- Sep 14, 2006
- Last Updated
- Jul 8, 2007
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