Individual
KRISTIN SHEPARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
550 PEACHTREE ST NE, ATLANTA, GA 30308-2212
(404) 686-1391
Mailing address
951 HOUNDS RIDGE CT, LAWRENCEVILLE, GA 30043-6319
(678) 985-5324
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT007312
GA
Other
Enumeration date
05/19/2019
Last updated
05/19/2019
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