Individual
BETTY M. SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT,OCS
Contact information
Practice address
1303 W 6TH ST, SUITE 104, CORONA, CA 92882-3196
(951) 273-7742
(951) 273-7747
Mailing address
1303 W 6TH ST, SUITE 104, CORONA, CA 92882-3196
(951) 273-7742
(951) 273-7747
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT13465
CA
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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