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1093483414
MARISSA SHAW
DALLAS, TX
NPI
1093483414
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1348998)
Enumeration Date
2021-08-31
Last Update Date
2021-08-31
Business Address
MARISSA SHAW
4218 BLACKHEATH RD
DALLAS, TX 75227-1701
Phone number: 214-457-4042
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Mailing Address
MARISSA SHAW
4218 BLACKHEATH RD
DALLAS, TX 75227-1701
Phone number: 214-457-4042
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