CLAUDE GOODMAN SHAW

CHARLOTTE, NC
NPI1053029801
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: NC  A2534)
Enumeration Date2022-11-10
Last Update Date2022-11-10
Business Address
CLAUDE GOODMAN SHAW PTA
5800 OLD PROVIDENCE RD
CHARLOTTE, NC 28226-6872
Phone number: 704-365-8551
Mailing Address
CLAUDE GOODMAN SHAW PTA
6624 BROOKMEADE DR
CHARLOTTE, NC 28226-7724
Phone number: 980-254-3560
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