Individual
KIMBERLY ANN SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 ERDMAN WAY, LEOMINSTER, MA 01453-1804
(978) 401-3880
Mailing address
4 LAUREL LN, GROTON, MA 01450-2219
(978) 302-9608
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
08/19/2011
Last updated
08/19/2011
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