Individual
EMILY SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
470 LOS PALMAS DR, FLEMING ISLAND, FL 32003-8205
(904) 343-8522
Mailing address
470 LOS PALMAS DR, FLEMING ISLAND, FL 32003-8205
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT20607
FL
Other
Enumeration date
02/05/2020
Last updated
02/05/2020
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