Individual
PAW TA SHUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2415 N TRIPHAMMER RD STE 11, ITHACA, NY 14850-1093
(607) 227-4421
(607) 463-0602
Mailing address
2415 N TRIPHAMMER RD STE 11, ITHACA, NY 14850-1093
(607) 227-4421
(607) 463-0602
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
030590
NY
Other
Enumeration date
09/22/2025
Last updated
09/22/2025
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