MS. Eugenia Marie Tice-Shepard, PT,DPT

NPI #1972727626 in Port Jervis, New York

Provider Information

NPI Number: 1972727626
Entity Type: Individual
Name: MS. Eugenia Marie Tice-Shepard, PT,DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT,DPT
Enumeration Date: Apr 12, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 160 E MAIN ST
City: Port Jervis
State: New York
ZIP Code: 12771-2114
Phone: (845) 858-7110

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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