Individual
MS. LAURIE L SHEPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, OCS
Contact information
Practice address
6836 E BROWN RD, STE 102, MESA, AZ 85207-3756
(480) 924-5514
(480) 924-5518
Mailing address
1257 W WARNER RD, SUITE A 2, CHANDLER, AZ 85224-2713
(480) 821-2286
(480) 821-2286
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
962
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
054940
—
AZ
Enumeration date
07/01/2005
Last updated
10/12/2007
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