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1104951169
MICHAEL SHAW
BETTENDORF, IA
NPI
1104951169
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IA 01090)
Enumeration Date
2007-02-22
Last Update Date
2007-07-08
Business Address
-- MICHAEL SHAW PT
2300 53RD AVE
BETTENDORF, IA 52722-7547
Phone number: 563-332-4422
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Mailing Address
-- MICHAEL SHAW PT
2219 WEST 57TH
DAVENPORT, IA 52804
Phone number: 563-528-3110
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