Shepard, Laurie L

Shepard, Laurie L is an individual health care provider with primary practice located at 6836 E Brown Rd Ste 102, Mesa AZ 85207-3756. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Shepard, Laurie L can be contacted via phone (480) 924-5514.

Contact Information

Primary practice address
6836 E Brown Rd Ste 102 Mesa AZ 85207-3756
Phone: (480) 924-5514
Fax: (480) 924-5518
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 962 Arizona

Profile Details

NPI number 1033116397
LBN Legal business name Shepard, Laurie L
Credentials PT, OCS
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2005
Last updated Oct 12th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033116397 NPPES
Arizona MEDICAID 054940

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