Individual
DEBORAH KATE SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
102 E HARDING ST, MORRILTON, AR 72110-2047
(501) 697-9881
(501) 475-1478
Mailing address
102 E HARDING ST, MORRILTON, AR 72110-2047
(501) 697-9881
(501) 475-1478
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A2115
AR
Other
Enumeration date
04/29/2025
Last updated
04/29/2025
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