Individual
CARLI SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
734 PINE ST APT 3F, PHILADELPHIA, PA 19106-4032
(609) 577-8495
Mailing address
734 PINE ST APT 3F, PHILADELPHIA, PA 19106-4032
(609) 577-8495
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OC019979
PA
Other
Enumeration date
08/06/2024
Last updated
08/06/2024
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