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Individual

MS. ANTOINETTE SHAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
16 FUSTING AVE, BALTIMORE, MD 21228-4413
(410) 747-1800
Mailing address
6179 DOWNS RIDGE CT, ELKRIDGE, MD 21075-6598

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
02544
MD

Other

Enumeration date
03/23/2007
Last updated
07/08/2007
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