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Individual

RON SHEPPARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OT

Contact information

Practice address
2817 W ANDREW JOHNSON HWY, MORRISTOWN, TN 37814-3216
(423) 586-4810
(276) 386-1446
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 238-7568
(276) 386-1446

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
OT00361
TN
225X00000X
Occupational Therapist
0119001450
VA
225X00000X
Occupational Therapist
Primary
361
TN

Other

Enumeration date
06/09/2005
Last updated
01/19/2022
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