Individual provider · Type 1 NPI

Kristin Shide, O.T.

Occupational Therapist · South Bend, IN

NPI number 1124249867 Active

Practice location

2505 E Jefferson Blvd
South Bend, IN 46615-2635

Fax (574) 234-2075

Mailing address

PO Box 1049
South Bend, IN 46624-1049

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000XNone listed

Occupational Therapist: 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 Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1124249867

Kristin Shide, O.T.'s National Provider Identifier is 1124249867, issued on May 1, 2007. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in South Bend, IN. The record was last updated on Jul 9, 2007.