Individual
ELIZABETH SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
204 SCHWARTZ RD, COLVILLE, WA 99114-9278
(509) 684-3152
Mailing address
204 SCHWARTZ RD, COLVILLE, WA 99114-9278
(509) 684-3152
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00002069
WA
Other
Enumeration date
03/01/2013
Last updated
03/01/2013
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