TRACY SHEPHARD

FORT MYERS, FL
NPI1518562503
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: FL  OTA17676)
Enumeration Date2020-11-30
Last Update Date2020-11-30
Business Address
TRACY SHEPHARD
15101 SHELL POINT BLVD
FORT MYERS, FL 33908-1694
Phone number: 239-466-1131
Mailing Address
TRACY SHEPHARD
9648 HEMINGWAY LN APT 4405
FORT MYERS, FL 33913-7082
Phone number: 440-225-6212
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