Individual
SUZANNE SHEPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, PCS
Contact information
Practice address
40 HENRIETTA BLVD, AMSTERDAM, NY 12010-1111
(518) 265-2462
Mailing address
2841 THOUSAND ACRES RD, DELANSON, NY 12053-1917
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
040277
NY
2251P0200X
Pediatric Physical Therapist
Primary
040277
NY
Other
Enumeration date
10/28/2016
Last updated
03/30/2023
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