Individual
AMY SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
621 S SUGAR ST, BROWNSTOWN, IN 47220-2066
(812) 358-2504
Mailing address
621 S SUGAR ST, BROWNSTOWN, IN 47220-2066
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31004150A
IN
Other
Enumeration date
08/05/2008
Last updated
08/05/2008
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