Individual
GERALDINE M. SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
130 S 9TH ST, SUITE 500, PHILADELPHIA, PA 19107-5233
(215) 503-6791
(215) 923-2475
Mailing address
130 S 9TH ST, SUITE 500, PHILADELPHIA, PA 19107-5233
(215) 503-6791
(215) 923-2475
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC003406L
PA
Other
Enumeration date
08/13/2008
Last updated
09/23/2009
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