Provider Demographics
NPI:1184964314
Name:SZADO, RICHARD (OTRL)
Entity type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:
Last Name:SZADO
Suffix:
Gender:M
Credentials:OTRL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4435 VALLEY FORGE DR
Mailing Address - Street 2:
Mailing Address - City:FAIRVIEW PARK
Mailing Address - State:OH
Mailing Address - Zip Code:44126-2826
Mailing Address - Country:US
Mailing Address - Phone:440-356-7182
Mailing Address - Fax:
Practice Address - Street 1:4435 VALLEY FORGE DR
Practice Address - Street 2:
Practice Address - City:FAIRVIEW PARK
Practice Address - State:OH
Practice Address - Zip Code:44126-2826
Practice Address - Country:US
Practice Address - Phone:440-356-7182
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-25
Last Update Date:2013-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1315225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist