Heather Denise Shaw

NPI #1487989349 in Appleton, Wisconsin

Provider Information

NPI Number: 1487989349
Entity Type: Individual
Name: Heather Denise Shaw
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Oct 12, 2009
Last Updated: Oct 12, 2009

Practice Location

Address: 601 N BRIARCLIFF DR
City: Appleton
State: Wisconsin
ZIP Code: 54915-2959
Phone: (920) 739-4466

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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