Madalyn Shaw

NPI #1184219792 in Alton, Illinois

Provider Information

NPI Number: 1184219792
Entity Type: Individual
Name: Madalyn Shaw
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Enumeration Date: Mar 5, 2021
Last Updated: May 23, 2024

Practice Location

Address: 1 PROFESSIONAL DR
City: Alton
State: Illinois
ZIP Code: 62002-5068
Phone: (618) 462-4621

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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