Individual
ASHLEY NICOLE SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12300 PERRY HWY STE 100, WEXFORD, PA 15090-8318
(724) 933-4673
Mailing address
12300 PERRY HWY, WEXFORD, PA 15090-8379
(724) 372-2125
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC018577
PA
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
08/04/2022
Last updated
06/13/2023
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