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1053702852
BROOKE SHAW
EASTON, PA
NPI
1053702852
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QR0400X Clinic/Center, Rehabilitation
(Licence: TN OTA0000001752)
Enumeration Date
2015-02-15
Last Update Date
2015-02-15
Business Address
Mrs. BROOKE SHAW COTA/L
2222 SULLIVAN TRL
EASTON, PA 18040-7958
Phone number: 610-991-2034
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Mailing Address
Mrs. BROOKE SHAW COTA/L
3879 BILL JONES RD
APISON, TN 37302-9749
Phone number: 423-322-5487
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