Healthcare Provider Details

I. General information

NPI: 1285887596
Provider Name (Legal Business Name): SHEILA MCGUIRE SMITH OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/30/2008
Last Update Date: 10/30/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10701 EAST BLVD 128W
CLEVELAND OH
44106-1702
US

IV. Provider business mailing address

10701 EAST BLVD 128W
CLEVELAND OH
44106-1702
US

V. Phone/Fax

Practice location:
  • Phone: 216-791-3800
  • Fax: 216-707-5912
Mailing address:
  • Phone: 216-791-3800
  • Fax: 216-707-5912

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XN1300X
TaxonomyNeurorehabilitation Occupational Therapist
License Number006194
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: