Individual
DONNA J SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2 W DELAWARE PL UNIT 1305, CHICAGO, IL 60610-3409
(734) 834-4482
Mailing address
2 W DELAWARE PL UNIT 1305, CHICAGO, IL 60610-3409
(734) 834-4482
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057000560
IL
Other
Enumeration date
03/02/2020
Last updated
03/02/2020
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