Individual
MS. CHELSE BROOKE SHEPPARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6317 PELICAN CRES S, SUFFOLK, VA 23435-2918
(757) 572-8103
Mailing address
6317 PELICAN CRES S, SUFFOLK, VA 23435-2918
(757) 572-8103
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306603812
VA
Other
Enumeration date
07/29/2014
Last updated
07/29/2014
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