Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANE VIDAL
Active Sole ProprietorSHANE VIDAL is a Occupational Therapist healthcare provider located in NORTHRIDGE, California. NPI 1831903905 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · NORTHRIDGE, CA
Registration Details
- NPI Number
- 1831903905
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 6, 2025 (1.4904907743018 yrs)
- Last Updated
- Feb 6, 2025
- License
-
53866 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
11260 WILBUR AVE STE 101NORTHRIDGE, CA, 913262450Browse CA providers · Browse ZIP 91326
- Phone
- 8188325656
- Fax
- 8188385245
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in NORTHRIDGE, CA
| Name | Credential | NPI |
|---|---|---|
| MARIA SYLVIA CABALLERO | PTA | 1720317167 |
| JENNA LYNN PEREA | PT | 1891234415 |
| MIKE FORD | — | 1457818064 |
| JOE AKRABOWON | PTA | 1659998342 |
| ZACHARY ATIENZA | PT, DPT | 1689270662 |
| SCOTT WITTER | — | 1023761335 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.