Individual
MRS. MAUREEN A SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC, LMT
Contact information
Practice address
3577 LAKE EMMA RD, SUITE 109, LAKE MARY, FL 32746-2056
(407) 936-0314
(407) 936-0316
Mailing address
2697 BELLEWATER PLACE, OVIEDO, FL 32765
(407) 923-5495
(928) 223-0264
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
AL1326
FL
225700000X
Massage Therapist
Primary
MA34636
FL
Other
Enumeration date
10/02/2006
Last updated
05/28/2009
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