Individual
KAROL SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24A SALEM RD, KINGFIELD, ME 04947
(207) 265-6102
Mailing address
24A SALEM RD, KINGFIELD, ME 04947
(207) 265-6102
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0P007202
PA
Other
Enumeration date
06/18/2012
Last updated
06/18/2012
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