Individual
MR. SCOTT JAMES SHAW
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
18111 NORDHOFF ST., NORTHRIDGE, CA 91330-8276
(818) 677-3237
(818) 677-7516
Mailing address
17340 BURBANK BLVD, #205, ENCINO, CA 91316-1754
(818) 981-3720
(818) 677-7516
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/04/2006
Last updated
07/08/2007
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