Individual
MEGAN SHEPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
990 MAIN ST N, SOUTHBURY, CT 06488-1267
(203) 264-9135
Mailing address
990 MAIN ST N, SOUTHBURY, CT 06488-1267
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
4975
CT
Other
Enumeration date
12/19/2019
Last updated
12/19/2019
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