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Individual

NANCY SHAW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
11636 AR 84, BISMARCK, AR 71929
(501) 865-4888
Mailing address
311 FREEMAN ST, HOT SPRINGS, AR 71913-4842
(501) 318-1134

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A1134
AR

Other

Enumeration date
09/01/2016
Last updated
09/01/2016
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