Lisa J Shepard in San Pedro - Physical Therapist

Lisa J Shepard - NPI 1063420545

Lisa J Shepard is a Physical Therapist in San Pedro, California. Lisa J Shepard practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Lisa J Shepard is 1063420545. The last update date is 2007-07-09.

Lisa J Shepard's current location address is 1294 West 6th Street, San Pedro, California. You can contact this provider via phone number 3105471850 and fax number 3105471972. The mailing address for Lisa J Shepard is 1294 West 6th Street, San Pedro, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Lisa J Shepard
Address 1294 West 6th Street, San Pedro, California
Phone Number 3105471850
Fax Number 3105471972
Sole Proprietor N
Credentials DPT, OCS

NPI Number Detail

NPI Number 1063420545
Provider Enumeration Date 2006-08-03
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 1294 West 6th Street
City San Pedro
State California (CA)
Post Code 907322997
Phone Number 3105471850
Fax Number 3105471972

Provider's Primary Taxonomy Detail

Speciality Physical Therapist
Taxonomy 225100000X
Licence No PT26466
Definition:
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per

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FAQs about Lisa J Shepard

What is the unique identifier code issued to Lisa J Shepard by the Centers for Medicare & Medicaid Services?

The Lisa J Shepard has been assigned the NPI (National Provider Identifier) 1063420545. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Lisa J Shepard's facilities are geographically located?

The facilities of Lisa J Shepard are physically situated at the following location: 1294 West 6Th Street, San Pedro, CA, 907322997.

What is the area of specialization for Lisa J Shepard, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Lisa J Shepard is Physical Therapist, and the corresponding taxonomy code that categorizes this area of expertise is 225100000X.

On what date did the Lisa J Shepard receive the assignment of its 1063420545 from the Centers for Medicare & Medicaid Services?

The Lisa J Shepard was issued its 1063420545 by the Centers for Medicare & Medicaid Services on 2006-08-03.

As of what date were the details pertaining to Lisa J Shepard last refreshed?

The information related to the Lisa J Shepard, including its address, specialty, and other relevant details, was last updated on 2007-07-09.

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