Individual
BETH SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
850 NELLIE ST, GREENFIELD, OH 45123
(937) 981-2165
Mailing address
P.O. BOX 185, CAIRO, OH 45820
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
07416
OH
Other
Enumeration date
06/10/2016
Last updated
06/10/2016
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