Individual
MISS CAITLIN SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2129 W OREGON AVE, 3RD FLOOR SUITE, PHILADELPHIA, PA 19145-4131
(215) 336-6630
Mailing address
1622 S 19TH ST, PHILADELPHIA, PA 19145-1439
(908) 489-4700
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT022820
PA
Other
Enumeration date
08/05/2013
Last updated
08/05/2013
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