MR. Leslie A Shaw, PTA

NPI #1699958074 in Alachua, Florida

Provider Information

NPI Number: 1699958074
Entity Type: Individual
Name: MR. Leslie A Shaw, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Dec 9, 2007
Last Updated: Dec 9, 2007

Practice Location

Address: 14910 MAIN ST
City: Alachua
State: Florida
ZIP Code: 32615-8591
Phone: (352) 462-1843

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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