KYMM SHAW

FORT WORTH, TX
NPI1194206854
Former NameKIMBERLEY SHAW
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: TX  208754)
Enumeration Date2018-08-22
Last Update Date2018-08-22
Business Address
KYMM SHAW COTA
1101 W VICKERY BLVD
FORT WORTH, TX 76104
Phone number: 682-885-6294
Mailing Address
KYMM SHAW COTA
PO BOX 99283
FORT WORTH, TX 76199-1383
Phone number: 682-885-6394
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