Individual
MR. REX ALAN SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
910 NEW YORK AVE, DUNEDIN, FL 34698-6600
(727) 736-4804
Mailing address
2075 N HIGHLAND AVE APT E4, CLEARWATER, FL 33755-1335
(727) 447-8930
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 20540
FL
Other
Enumeration date
07/06/2007
Last updated
07/08/2007
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