Shepard, Lisa J

Shepard, Lisa J is an individual health care provider with primary practice located at 1294 West 6Th Street Suite 101, San Pedro CA 90732-2997. 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, Lisa J can be contacted via phone (310) 547-1850.

Contact Information

Primary practice address
1294 West 6Th Street Suite 101 San Pedro CA 90732-2997
Phone: (310) 547-1850
Fax: (310) 547-1972
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT26466 California

Profile Details

NPI number 1063420545
LBN Legal business name Shepard, Lisa J
Credentials DPT, OCS
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2006
Last updated Jul 9th, 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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