Jonathan Shaw

NPI #1073709143 in Acworth, Georgia

Provider Information

NPI Number: 1073709143
Entity Type: Individual
Name: Jonathan Shaw
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Sep 21, 2007
Last Updated: Jun 30, 2008

Practice Location

Address: 3950 COBB PKWY NW
Address 2: SUITE 703
City: Acworth
State: Georgia
ZIP Code: 30101-9532
Phone: (770) 917-0924

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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