Individual
MRS. KRISTEN MARIE SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1 EMERSON DR, WINDSOR, CT 06095-3204
(860) 688-6443
Mailing address
172 HAWTHORNE ST, MANCHESTER, CT 06042-3023
(203) 232-8677
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
10/20/2019
Last updated
10/20/2019
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