Individual
MS. DESIREE M SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, MPT
Contact information
Practice address
4674 SNOW MESA DR, SUITE 140, FORT COLLINS, CO 80528-8615
(970) 266-3850
(970) 266-3855
Mailing address
4674 SNOW MESA DR, SUITE 140, FORT COLLINS, CO 80528-8615
(970) 266-3850
(970) 266-3855
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3393
CO
225100000X
Physical Therapist
3711
CO
Other
Enumeration date
05/23/2005
Last updated
07/21/2008
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