Individual
CARYLN RAE SHEPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
13937 US HIGHWAY 17 APT 214, HAMPSTEAD, NC 28443-4043
(910) 566-0300
Mailing address
7210 CHIPLEY DR, WILMINGTON, NC 28411-7266
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15441
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15441
NORTH CAROLINA BOARD OF PHYSICAL THERAPY EXAMINERS
NC
Enumeration date
03/02/2015
Last updated
02/18/2021
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