Individual
RACHAEL SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
811 3RD ST, KALONA, IA 52247-9493
(319) 656-2421
Mailing address
3503 E AVE NW UNIT D, CEDAR RAPIDS, IA 52405-3542
(515) 203-1938
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
089021
IA
Other
Enumeration date
09/08/2017
Last updated
09/08/2017
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