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Individual

MRS. BARBARA JEAN SHAW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
12215 SHADOE HOLLOW RD NE, CUMBERLAND, MD 21502-8103
(301) 777-8217
Mailing address
12215 SHADOE HOLLOW RD NE, CUMBERLAND, MD 21502-8103
(301) 777-8217
(301) 777-8217

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A01678
MD
224Z00000X
Occupational Therapy Assistant
C1669
WV
224Z00000X
Occupational Therapy Assistant
OP006574
PA

Other

Enumeration date
03/17/2009
Last updated
03/17/2009
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