Individual
MRS. HEATHER SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
3817 CLOVERHILL CT, BRANDON, FL 33511-7937
(813) 571-8009
Mailing address
3817 CLOVERHILL CT, BRANDON, FL 33511-7937
(813) 571-8009
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT12448
FL
Other
Enumeration date
03/11/2012
Last updated
03/11/2012
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