Individual
MISS DANA LAUREN SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
2814 GRAY FOX ROAD, PEDIATRIC BOULEVARD, MONROE, NC 28110
(704) 821-0568
Mailing address
3021 SAGEBRUSH BND, MONROE, NC 28110-6349
(704) 941-0995
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
8582
NC
Other
Enumeration date
04/22/2009
Last updated
02/03/2015
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