Individual
MARGENE SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
625 WALNUT ST, MCKEESPORT, PA 15132-2806
(412) 673-5005
Mailing address
625 WALNUT ST, MCKEESPORT, PA 15132-2806
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP003468L
PA
Other
Enumeration date
04/26/2018
Last updated
04/26/2018
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