Individual
CARMEN M SHEPPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
7733 FORSYTH BLVD, SUITE 2300, SAINT LOUIS, MO 63105-1817
(800) 545-0749
Mailing address
55 WEHDE LANE, OLD MONROE, MO 63369
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2008029258
MO
Other
Enumeration date
11/06/2008
Last updated
10/14/2011
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