Individual
MISS SUZANNE MARIE SHEPPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
400 BRADLEY PARK DR, COLUMBUS, GA 31904-2901
(706) 322-3040
Mailing address
3163 APACHE DR, COLUMBUS, GA 31909-5106
(706) 562-9107
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
001000
GA
Other
Enumeration date
04/24/2008
Last updated
04/24/2008
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