Shirley B Shaw, OT

NPI #1841415304 in Logan, Utah

Provider Information

NPI Number: 1841415304
Entity Type: Individual
Name: Shirley B Shaw, OT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Credential: OT
Enumeration Date: Apr 17, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 2380 N 400 E
City: Logan
State: Utah
ZIP Code: 84341-1749
Phone: (435) 787-9030

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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