Individual
MASON SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
20320 N JOHN WAYNE PKWY, STE 120, MARICOPA, AZ 85139
(520) 635-2260
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2251X0800X
Orthopedic Physical Therapist
33290
AZ
Other
Enumeration date
05/05/2022
Last updated
09/07/2022
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