Individual
MARY LOHSE SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
200 HAWKINS DR # 733JPP, IOWA CITY, IA 52242-1009
(319) 356-2663
Mailing address
1009 CHURCH ST, IOWA CITY, IA 52245-6018
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
01416
IA
Other
Enumeration date
04/16/2020
Last updated
04/16/2020
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