Individual
IRENE JULIA SHEPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1568 LAKE LANSING RD STE B, LANSING, MI 48912-3707
(517) 483-2734
Mailing address
1568 LAKE LANSING RD STE B, LANSING, MI 48912-3707
(517) 483-2734
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
07/13/2022
Last updated
07/13/2022
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