Individual
BRIANNA SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
620 HEATHWOOD DR, ALBEMARLE, NC 28001-8604
(704) 983-2686
Mailing address
919 OPHIR AVE, TROY, NC 27371-2513
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
17808
NC
Other
Enumeration date
07/18/2025
Last updated
07/18/2025
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