Individual
MRS. KIMBERLY ANN SHEPARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
100 SOMERBY DR, ALPHARETTA, GA 30009-8780
(770) 378-2328
(678) 987-7078
Mailing address
3011 SERENADE CT, ALPHARETTA, GA 30004-4958
(770) 378-2328
(678) 987-7078
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA001545
GA
Other
Enumeration date
11/20/2012
Last updated
11/20/2012
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