MRS. Annette L Shirley, OTA06630

NPI #1912456419 in Solon, Ohio

Provider Information

NPI Number: 1912456419
Entity Type: Individual
Name: MRS. Annette L Shirley, OTA06630
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Credential: OTA06630
Enumeration Date: Sep 25, 2016
Last Updated: Sep 25, 2016

Practice Location

Address: 30325 BAINBRIDGE RD
Address 2: SUITE A-5
City: Solon
State: Ohio
ZIP Code: 44139-2295
Phone: (440) 498-1100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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