Individual
KATHARINE MARY SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4100 W 3RD ST, DAYTON, OH 45428-9000
(937) 268-6511
Mailing address
3120 MURDOCK RD, CEDARVILLE, OH 45314-9448
(937) 689-2480
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT012051
OH
Other
Enumeration date
12/01/2022
Last updated
12/01/2022
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