Individual
LILLIE TEAGUE SHEPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
410 2ND AVE E STE C, ONEONTA, AL 35121-1412
(205) 274-0922
(205) 803-6600
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 238-7217
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA8055
AL
Other
Enumeration date
03/14/2022
Last updated
03/14/2022
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