Individual
ADRIANA OLAVE-SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9207 175TH ST, JAMAICA, NY 11433-1316
(718) 206-3240
Mailing address
863 S LONG BEACH AVE, FREEPORT, NY 11520-6304
(347) 239-8307
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0250871
NY
Other
Enumeration date
03/17/2012
Last updated
03/17/2012
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