Individual
MRS. BREANA SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
340 MAPLE ST STE 410, MARLBOROUGH, MA 01752-3200
(908) 500-3744
Mailing address
17 GLEN GERY RD, SHREWSBURY, MA 01545-6306
(508) 925-5258
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6946
MA
Other
Enumeration date
08/30/2017
Last updated
08/30/2017
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