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Individual

MRS. TIMNA WILSON SHAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
731 BALTIMORE BLVD, WESTMINSTER, MD 21157-6105
(410) 848-8628
(410) 848-3909
Mailing address
2526 HUGHES SHOP RD, WESTMINSTER, MD 21158-2843
(410) 848-1645

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
02672
MD

Other

Enumeration date
11/09/2007
Last updated
11/09/2007
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