Patricia Shaw

NPI #1063056570 in Tyler, Texas

Provider Information

NPI Number: 1063056570
Entity Type: Individual
Name: Patricia Shaw
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Enumeration Date: Oct 29, 2019
Last Updated: Oct 29, 2019

Practice Location

Address: 9846 HWY 31 E
City: Tyler
State: Texas
ZIP Code: 75705-2329
Phone: (903) 525-3801

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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