Individual
JESSICA SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 KILDAIRE WOODS DR, CARY, NC 27511
(919) 465-0356
Mailing address
300 KILDAIRE WOODS DR, CARY, NC 27511-5500
(919) 465-0356
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
007009
CT
Other
Enumeration date
08/26/2015
Last updated
03/14/2019
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