Individual
MR. GARY SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3218 18TH ST NW, WASHINGTON, DC 20010-1002
(202) 359-7685
(202) 359-7685
Mailing address
3218 18TH ST NW, WASHINGTON, DC 20010-1002
(202) 359-7685
(202) 359-7685
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT866
DC
Other
Enumeration date
02/25/2007
Last updated
07/08/2007
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