Individual
SCOTT SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2 LUCILLE LN, CHERRY HILL, NJ 08003-1031
(386) 756-4395
(866) 426-2811
Mailing address
917 BEVILLE RD, SUITE G, SOUTH DAYTONA, FL 32119-1712
(386) 756-4395
(866) 426-2811
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE005157L
PA
Other
Enumeration date
07/01/2008
Last updated
07/01/2008
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