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DEANNA SHEPHERD

>> Occupational Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1992255079

Individual Registrant:
 DEANNA  SHEPHERD 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
2277 EAST DR  MONTE VISTA, CO 81144-9330 US
Tel: 719-852-5138  Fax: --

Contact information for business:
2277 EAST DR  MONTE VISTA, CO 81144-9330 US
Tel: --  Fax: --

Registration Information:
NPI: 1992255079
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapist
COOT.0001058

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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