Individual
MATTY ELAINE SHEPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2850 WESTOWN PKWY, WEST DES MOINES, IA 50266-1301
(515) 224-5225
(515) 224-5235
Mailing address
670 36TH ST, DES MOINES, IA 50312-3326
(515) 770-8742
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
002023
IA
Other
Enumeration date
07/22/2019
Last updated
07/22/2019
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