Individual
MARTHA SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
755 E MCDOWELL RD, PHOENIX, AZ 85006-2506
(602) 521-3060
Mailing address
4901 S CALLE LOS CERROS DR UNIT 249, TEMPE, AZ 85282-6221
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
12973A
AZ
Other
Enumeration date
11/17/2017
Last updated
11/17/2017
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