Individual
LYDIA SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
307 INTERNATIONAL CIR STE 100, HUNT VALLEY, MD 21030-1387
(513) 268-4924
Mailing address
307 INTERNATIONAL CIR STE 100, HUNT VALLEY, MD 21030-1387
(513) 268-4924
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
026288
NY
Other
Enumeration date
11/19/2021
Last updated
11/19/2021
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