Individual
MRS. SAGOWDAUN SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
9035 BRYAN DAIRY RD, LARGO, FL 33777-1104
(727) 395-9619
Mailing address
12127 101ST AVE, SEMINOLE, FL 33772-2115
(727) 399-8959
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
PT 10413
FL
Other
Enumeration date
01/12/2012
Last updated
01/12/2012
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