IndividualActive
Reda Shihadeh, OTR/L
NPI 1255204103 · Gerontology Occupational Therapist · Saint Johns, FL
Provider details
- NPI number
- 1255204103
- Entity type
- Individual
- Primary specialty
- Gerontology Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTR/L
- Sex
- Male
- Sole proprietor
- Yes
- License
- 6341 (FL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
200 Woodfield Ln
Saint Johns, FL 32259-6302
Phone: (904) 874-1223
Approximate (ZIP-level) locationGet directions
Mailing address
200 Woodfield Ln
Saint Johns, FL 32259-6302
Registry dates
- Enumerated
- 2025-09-26
- Last updated
- 2025-09-26
- Certified
- 2025-09-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.