Individual
MS. KATHERINE SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. OTR/L. M.ED.
Contact information
Practice address
10631 S 51ST ST, SUITE 8, PHOENIX, AZ 85044-5225
(480) 398-4280
Mailing address
PO BOX 50218, PHOENIX, AZ 85076-0218
(480) 398-4280
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6586
AZ
Other
Enumeration date
05/16/2016
Last updated
05/16/2016
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