Individual
MS. SHANNON ELIZABETH SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
502 29TH ST SE, AUBURN, WA 98002-7532
(253) 939-0090
Mailing address
13419 MCCUTCHEON RD E, ORTING, WA 98360-9589
(253) 278-3622
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC00000451
WA
Other
Enumeration date
05/10/2010
Last updated
05/10/2010
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