Organization
WEST PARK REHAB & AQUATIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY S SHAW M.D., P.A. (GENERAL PARTNER)
(936) 328-8080
Entity
Organization
Contact information
Practice address
210 W PARK, SUITE 101, LIVINGSTON, TX 77351-8336
(936) 327-8080
(936) 327-8086
Mailing address
210 W PARK, SUITE 101, LIVINGSTON, TX 77351-8336
(936) 327-8080
(936) 327-8086
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
04/13/2012
Last updated
07/26/2012
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