MISS Jacqueline Dawn Shepard, PTA

NPI #1649380817 in Brandon, Florida

Provider Information

NPI Number
1649380817
Entity Type
Individual
Name
MISS Jacqueline Dawn Shepard, PTA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
Aug 30, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
206 RIDGEWOOD AVE
State
Florida
ZIP Code
33510-4617
Phone
(813) 662-1060

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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