Individual
BRUCE SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9123 SPRINGCROFT CT, TOMBALL, TX 77375-4341
(281) 251-3842
Mailing address
9123 SPRINGCROFT CT, TOMBALL, TX 77375-4341
(281) 251-3842
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
111951
TX
Other
Enumeration date
01/09/2009
Last updated
01/09/2009
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