JOANNA ROSE SHAW

KINGSTON, NY
NPI1427728294
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: NY  010913)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-09-14
Last Update Date2025-09-25
Business Address
JOANNA ROSE SHAW COTA
16 LUCAS AVE STE 201
KINGSTON, NY 12401-3708
Phone number: 845-514-2094
Mailing Address
JOANNA ROSE SHAW COTA
17 CARROLL ST
TILLSON, NY 12486-1216
Phone number: 917-880-2975