Individual
TASIA SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
49 MARLBOROUGH AVE, PROVIDENCE, RI 02907-1218
(401) 416-6256
Mailing address
49 MARLBOROUGH AVE, PROVIDENCE, RI 02907-1218
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA01336
RI
Other
Enumeration date
03/30/2026
Last updated
03/30/2026
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