Individual
MR. JONATHAN THOMAS SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
3220 DUNWOODIE RD, ANN ARBOR, MI 48105-4113
(734) 717-1690
Mailing address
8125 BOWERMAN RD, HORTON, MI 49246-9522
(517) 795-0321
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501011233
MI
Other
Enumeration date
06/16/2006
Last updated
10/19/2009
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