KRISTIN SHIDE

SOUTH BEND, IN
NPI1124249867
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
Enumeration Date2007-05-01
Last Update Date2007-07-09
Business Address
-- KRISTIN SHIDE O.T.
2505 E JEFFERSON BLVD
SOUTH BEND, IN 46615-2635
Phone number: 574-289-4831
Mailing Address
-- KRISTIN SHIDE O.T.
PO BOX 1049
SOUTH BEND, IN 46624-1049
Phone number: 574-289-4831