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Individual
SHAWN D AXTEN
Active
Individual
SHAWN D AXTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT,CST-D
Taxonomy
Speciality
Code
Description
License number
State
2081P0010X
Pediatric Rehabilitation Medicine Physician
WAPT0000574
WA
261QP2000X
Physical Therapy Clinic/Center
Primary
01557
OR
Other
Enumeration date
01/10/2007
Last updated
06/19/2024
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