Individual
MRS. DEBORAH L. SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2358 KOYLETTE RD, MARLETTE, MI 48453-9609
(989) 635-4842
(989) 635-4842
Mailing address
2358 KOYLETTE RD, MARLETTE, MI 48453-9609
(989) 635-4842
(989) 635-4842
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502001979
MI
Other
Enumeration date
05/21/2007
Last updated
03/17/2014
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