Individual
MS. NANCY LEE SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
565 NW HOLLY STREET, ISSAQUAH, WA 98027
(425) 837-7000
Mailing address
565 NW HOLLY STREET, ISSAQUAH, WA 98027
(425) 837-7000
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
60563970
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60563970
COTA
—
Enumeration date
09/22/2006
Last updated
06/12/2015
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