Individual
CHRISTOPHER SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1230 BURMONT RD, DREXEL HILL, PA 19026-4504
(610) 449-1175
(610) 449-1195
Mailing address
1230 BURMONT RD, DREXEL HILL, PA 19026-4504
(610) 449-1175
(610) 449-1195
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT005244L
PA
225100000X
Physical Therapist
Primary
—
—
2251C2600X
Cardiopulmonary Physical Therapist
PT005244L
PA
2251G0304X
Geriatric Physical Therapist
PT005244L
PA
2251X0800X
Orthopedic Physical Therapist
PT005244L
PA
225400000X
Rehabilitation Practitioner
PT005244L
PA
Other
Enumeration date
04/29/2021
Last updated
03/02/2022
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