MS. Laurie L Shepard, PT, OCS

NPI #1033116397 in Mesa, Arizona

Provider Information

NPI Number: 1033116397
Entity Type: Individual
Name: MS. Laurie L Shepard, PT, OCS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT, OCS
Enumeration Date: Jul 1, 2005
Last Updated: Oct 12, 2007

Practice Location

Address: 6836 E BROWN RD
Address 2: STE 102
City: Mesa
State: Arizona
ZIP Code: 85207-3756
Phone: (480) 924-5514

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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