Individual
GERRI LYNN SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
11315 CORPORATE BLVD STE 100, ORLANDO, FL 32817-8340
(877) 896-3660
(877) 217-9271
Mailing address
9348 GILDENFIELD CT, HENRICO, VA 23294-5625
(717) 440-4677
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131000682
VA
224Z00000X
Occupational Therapy Assistant
OP002853L
PA
Other
Enumeration date
03/18/2011
Last updated
03/18/2011
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