| NPI | 1821311127 |
|---|---|
| Former Name | EVELYN LEIGH SHEPHERD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: SC 7331) |
| Additional Taxonomies | 172M00000X Mechanotherapist (Licence: OH 009244) |
| Enumeration Date | 2010-03-02 |
| Last Update Date | 2025-04-30 |