Individual
DEBRA SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA,OTR/L
Contact information
Practice address
3057 CLEVELAND AVE SW, CANTON, OH 44707-3625
(330) 484-2547
(330) 484-3431
Mailing address
5117 PICADOR RD SE, CARROLLTON, OH 44615-8557
(330) 484-2547
(330) 484-3431
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
03397
OH
Other
Enumeration date
11/25/2014
Last updated
11/25/2014
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