MISS Marissa Lynn Shepherd, PTA

NPI #1942589825 in Lake Mary, Florida

Provider Information

NPI Number: 1942589825
Entity Type: Individual
Name: MISS Marissa Lynn Shepherd, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Aug 10, 2011
Last Updated: Aug 10, 2011

Practice Location

Address: 1337 S INTERNATIONAL PKWY
City: Lake Mary
State: Florida
ZIP Code: 32746-1402
Phone: (407) 833-0802

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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