Individual
CHRISTINA LYNN GANEM SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
480 CENTRAL AVE, JB PHH, HI 96860-4908
(808) 471-1866
(808) 471-0918
Mailing address
480 CENTRAL AVE, JB PHH, HI 96860-4908
(808) 471-1866
(808) 471-0918
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1210712
TX
Other
Enumeration date
10/15/2012
Last updated
10/15/2012
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