Courtney Shaw, OT

NPI #1902392855 in Wayne, Pennsylvania

Provider Information

NPI Number: 1902392855
Entity Type: Individual
Name: Courtney Shaw, OT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OT
Enumeration Date: Jul 3, 2018
Last Updated: Jul 3, 2018

Practice Location

Address: 999 OLD EAGLE SCHOOL RD STE 106
City: Wayne
State: Pennsylvania
ZIP Code: 19087-1707
Phone: (877) 407-3422

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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