Individual
MOLLY SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21505 43RD AVE APT 9, BAYSIDE, NY 11361-2913
(401) 499-2153
Mailing address
21505 43RD AVE APT 9, BAYSIDE, NY 11361-2913
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
04/27/2009
Last updated
04/27/2009
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