Individual provider · Type 1 NPI
Kristin Shide, O.T.
Occupational Therapist · South Bend, IN
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
| Taxonomy | Code | License |
|---|---|---|
| Occupational Therapist Primary | 225X00000X | None 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.