Shepard, Jacqueline Dawn

Shepard, Jacqueline Dawn is an sole proprietor health care provider with primary practice located at 206 Ridgewood Ave , Brandon FL 33510-4617. 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. Shepard, Jacqueline Dawn can be contacted via phone (813) 662-1060.

Contact Information

Primary practice address
206 Ridgewood Ave Brandon FL 33510-4617
Phone: (813) 662-1060
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X PTA 19942 Florida

Profile Details

NPI number 1649380817
LBN Legal business name Shepard, Jacqueline Dawn
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2006
Last updated Jul 8th, 2007 - about 19 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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