Individual
CAROL SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
102 TATTERSALL DR, BURLINGTON, NJ 08016-4323
(609) 500-6456
Mailing address
102 TATTERSALL DR, BURLINGTON, NJ 08016-4323
(609) 500-6456
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00221400
NJ
Other
Enumeration date
05/27/2014
Last updated
05/27/2014
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