Individual
MS. LISA ANN SHEPHERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
240 BRANCHVIEW DR NE, CONCORD, NC 28025
(704) 343-8735
Mailing address
4940 HUNT CLUB ROAD. APT. J, WINSTON-SALEM, NC 27104
(704) 609-8721
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10875
NC
Other
Enumeration date
06/19/2017
Last updated
06/19/2017
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