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Individual

ALEXANDRIA SHEPHERD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
13440 LUCIA RIVERBEND HWY, MOUNT HOLLY, NC 28120-9766
(704) 827-8840
Mailing address
3736 PINECREST DR, GASTONIA, NC 28056-8474
(704) 689-7944

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
60981297
WA
225X00000X
Occupational Therapist
Primary
15404
NC

Other

Enumeration date
10/07/2019
Last updated
04/30/2026
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