Individual
KAYLIN SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2300 WARREN ST, EUGENE, OR 97405-1116
(541) 686-2828
Mailing address
2691 WOODSTONE PL, EUGENE, OR 97405-1234
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
480232
OR
Other
Enumeration date
10/25/2023
Last updated
10/25/2023
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