Individual
CHRISTOPHER SHAW
Active
Individual
CHRISTOPHER SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
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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