Individual
CHARLES SHEPHERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3417 18TH ST NE, WASHINGTON, DC 20018-2721
(202) 629-2917
(202) 629-2797
Mailing address
122 45TH ST NE, WASHINGTON, DC 20019-4614
(202) 883-1278
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
03/23/2023
Last updated
03/23/2023
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