Provider Demographics
NPI:1548411176
Name:MURDEN-SHELL, ISLA
Entity Type:Individual
Prefix:
First Name:ISLA
Middle Name:
Last Name:MURDEN-SHELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ISLA
Other - Middle Name:
Other - Last Name:MURDEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6685 HAYHURST ST
Mailing Address - Street 2:
Mailing Address - City:WORTHINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43085-2505
Mailing Address - Country:US
Mailing Address - Phone:614-431-9603
Mailing Address - Fax:
Practice Address - Street 1:6685 HAYHURST ST
Practice Address - Street 2:
Practice Address - City:WORTHINGTON
Practice Address - State:OH
Practice Address - Zip Code:43085-2505
Practice Address - Country:US
Practice Address - Phone:614-431-9603
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-01
Last Update Date:2008-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1323225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics