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1376009134
RODNEY D SHAW
BEAUMONT, TX
NPI
1376009134
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2030617)
Enumeration Date
2019-02-18
Last Update Date
2019-02-18
Business Address
RODNEY D SHAW PTA
87 INTERSTATE 10 N STE 225
BEAUMONT, TX 77707-2549
Phone number: 409-835-0228
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Mailing Address
RODNEY D SHAW PTA
87 INTERSTATE 10 N STE 225
BEAUMONT, TX 77707-2549
Phone number: 409-835-0228
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