Individual
DR. KEIBA LYNN SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, EDD
Contact information
Practice address
3632 QUEEN PALM DRIVE, TAMPA, FL 33619-1154
(813) 574-5318
Mailing address
3632 QUEEN PALM DRIVE, TAMPA, FL 33619-2047
(813) 574-5318
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
PT20924
FL
2251X0800X
Orthopedic Physical Therapist
10726
CO
Other
Enumeration date
04/08/2010
Last updated
10/22/2011
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