Individual
JADE SHADBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 VARY WAY, BERKLEY, MA 02779-1720
(508) 880-0883
Mailing address
1 VARY WAY, BERKLEY, MA 02779-1720
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
03/23/2017
Last updated
03/23/2017
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