NPI 1003402579
Ra'Isah Sheppard
Practice location
- Address
- 111 Pomona Dr STE G, Greensboro, NC 27407-1636
- Phone
- (908) 546-8504
- Mailing address
- 1055 E Colorado Blvd STE 560, Pasadena, CA 91106-2380
Registered specialties
Occupational Therapist
Primary
Registry record
- NPI
- 1003402579
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 17 Dec 2020
- Record last updated
- 8 Jun 2026
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.