Individual
BRETLYN ERIKAH MARIE SHEPARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
94-1181 KA UKA BLVD STE C, WAIPAHU, HI 96797-4485
(808) 260-9056
Mailing address
94-1181 KA UKA BLVD STE C, WAIPAHU, HI 96797-4485
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2339
HI
Other
Enumeration date
02/20/2023
Last updated
02/20/2023
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