Individual
APRIL LYNN SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4450 W EAU GALLIE BLVD, SUITE 180, MELBOURNE, FL 32934-7213
(321) 255-6627
Mailing address
121 OCEAN TER, INDIALANTIC, FL 32903-3416
(321) 431-8680
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT006591
FL
Other
Enumeration date
05/09/2013
Last updated
05/09/2013
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