Shelly L Vidas in Bangor - Occupational Therapist
Shelly L Vidas - NPI 1912002098
Shelly L Vidas is a Occupational Therapist in Bangor, Maine. Shelly L Vidas practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Shelly L Vidas is 1912002098. The last update date is 2007-07-08.
Shelly L Vidas's current location address is 890 Hammond St, Bangor, Maine. You can contact this provider via phone number 2079924042 and fax number 2079924043. The mailing address for Shelly L Vidas is 890 Hammond St, Bangor, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shelly L Vidas |
|---|---|
| Address | 890 Hammond St, Bangor, Maine |
| Phone Number | 2079924042 |
| Fax Number | 2079924043 |
| Sole Proprietor | N |
| Credentials | OT |
NPI Number Detail
| NPI Number | 1912002098 |
|---|---|
| Provider Enumeration Date | 2006-09-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 890 Hammond St |
|---|---|
| City | Bangor |
| State | Maine (ME) |
| Post Code | 44014328 |
| Phone Number | 2079924042 |
| Fax Number | 2079924043 |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapist |
|---|---|
| Taxonomy | 225X00000X |
| Licence No | OT790 |
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Definition: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federat |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Shelly L Vidas by the Centers for Medicare & Medicaid Services?
The Shelly L Vidas has been assigned the NPI (National Provider Identifier) 1912002098 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Shelly L Vidas's physical address?
The Shelly L Vidas is physically located at 890 Hammond St, in the city of Bangor, ME, with the postal code 44014328.
What is Shelly L Vidas's specialized field of practice, and what is the corresponding taxonomy classification code?
The Shelly L Vidas's area of specialization is Occupational Therapist, and the corresponding taxonomy code that categorizes this field of practice is 225X00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1912002098 to Shelly L Vidas?
The Centers for Medicare & Medicaid Services assigned the 1912002098 to Shelly L Vidas on 2006-09-14.
When was the information related to Shelly L Vidas most recently updated or refreshed?
The details pertaining to the Shelly L Vidas, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.