Individual
TINA LYNN SHAWLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
5500 BROOKTREE RD, SUITE 102, WEXFORD, PA 15090-9260
(724) 940-3468
(724) 940-3969
Mailing address
10795 TIMBER CREST DR, APT. 103, MEADVILLE, PA 16335-6364
(814) 671-0290
(814) 763-5698
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP002816L
PA
Other
Enumeration date
07/18/2007
Last updated
07/18/2007
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