Individual
DYLAN SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1615 PASADENA AVE S STE 150, SOUTH PASADENA, FL 33707-4517
(813) 978-9700
Mailing address
13020 N TELECOM PKWY, TEMPLE TERRACE, FL 33637-0915
(813) 978-9700
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT39899
FL
Other
Enumeration date
02/02/2023
Last updated
02/02/2023
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