Individual
DR. ELLEN BAILEY SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
807 W JEFFERSON ST UNIT U, SHOREWOOD, IL 60404-7301
(814) 714-2977
Mailing address
225 N PARK ST, MANHATTAN, IL 60442-8142
(815) 955-6576
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.013699
IL
Other
Enumeration date
05/25/2021
Last updated
05/25/2021
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