Individual
COLEEN JOAN SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
500 CUMMINGS CTR STE 3850, BEVERLY, MA 01915-6509
(978) 232-0332
Mailing address
3 SOUTHWICK RD, PEABODY, MA 01960-4230
(978) 766-0045
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2916
MA
Other
Enumeration date
10/28/2021
Last updated
10/28/2021
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