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Individual

MS. JANET SHEPHERD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
11301 WILSHIRE BOULEVARD, LOS ANGELES, CA 90073
(310) 268-3166
Mailing address
23 BRIDLE LANE, ALISO VIEJO, CA 92656
(949) 305-4119

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OT 4841
CA

Other

Enumeration date
10/05/2006
Last updated
07/08/2007
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