Shepherd, Marissa Lynn

Shepherd, Marissa Lynn is an individual health care provider with primary practice located at 1337 S International Pkwy , Lake Mary FL 32746-1402. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Shepherd, Marissa Lynn can be contacted via phone (407) 833-0802.

Contact Information

Primary practice address
1337 S International Pkwy Lake Mary FL 32746-1402
Phone: (407) 833-0802
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 22209 Florida

Profile Details

NPI number 1942589825
LBN Legal business name Shepherd, Marissa Lynn
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2011
Last updated Aug 10th, 2011 - about 14 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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