Individual
LISA SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
794 UNION ST STE 3, BROOKLYN, NY 11215-7724
(212) 759-2282
(212) 379-2123
Mailing address
31 E 32ND ST FL 4, NEW YORK, NY 10016-5595
(212) 759-2282
(212) 379-2123
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
050282-01
NY
2251X0800X
Orthopedic Physical Therapist
—
CA
Other
Enumeration date
02/16/2015
Last updated
08/14/2023
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