Individual
MADISON SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
617 COLE ST, WEBSTER, TX 77598-4903
(281) 824-1000
(281) 562-7840
Mailing address
199 BLOSSOM ST STE B, WEBSTER, TX 77598-4415
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
06/06/2022
Last updated
10/20/2022
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