Individual
CHRISTIN M SHEPARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
813 FAY RD, SYRACUSE, NY 13219-3009
(315) 703-0778
(315) 488-3804
Mailing address
8480 E FLOYD RD, HOLLAND PATENT, NY 13354-3550
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
015538-1
NY
Other
Enumeration date
09/25/2009
Last updated
09/25/2009
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