JACQUELINE DAWN SHEPARD

BRANDON, FL
NPI1649380817
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  PTA 19942)
Enumeration Date2006-08-30
Last Update Date2007-07-08
Business Address
Miss JACQUELINE DAWN SHEPARD PTA
206 RIDGEWOOD AVE
BRANDON, FL 33510-4617
Phone number: 813-662-1060
Mailing Address
Miss JACQUELINE DAWN SHEPARD PTA
1022 VERSANT DR APT 103
BRANDON, FL 33511-8855
Phone number: 813-323-8623
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