Individual
MS. SUSAN FINETTE SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3724 CENTER ROAD, SUITE 109, BRUNSWICK, OH 44212
(330) 220-2505
Mailing address
19210 MISTY LAKE DRIVE, STRONGSVILLE, OH 44136
(440) 572-0906
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3533
OH
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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