Individual
MS. SHELBY SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22 TOMPKINS ST, WATERBURY, CT 06708-1417
(203) 419-0381
(203) 419-0389
Mailing address
83 GRABHERR RD, THOMASTON, CT 06787-1016
(860) 283-8442
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
000500
CT
Other
Enumeration date
01/22/2007
Last updated
02/27/2024
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