HEATHER DENISE SHAW

APPLETON, WI
NPI1487989349
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WI  536019)
Enumeration Date2009-10-12
Last Update Date2009-10-12
Business Address
-- HEATHER DENISE SHAW
601 N BRIARCLIFF DR
APPLETON, WI 54915-2959
Phone number: 920-739-4466
Mailing Address
-- HEATHER DENISE SHAW
601 N BRIARCLIFF DR
APPLETON, WI 54915-2959
Phone number: 920-739-4466