Individual
AMANDA SHEPHERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1280 ALMONESSON RD, DEPTFORD, NJ 08096-5502
(856) 345-1401
(856) 805-9370
Mailing address
PO BOX 191, ROCKLAND, DE 19732-0191
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
U1-0001570
DE
Other
Enumeration date
07/15/2015
Last updated
12/13/2017
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