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1588838650
THEA R SHAW
HAMPTON, VA
NPI
1588838650
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: VA 2305205407)
Enumeration Date
2008-04-18
Last Update Date
2021-05-12
Business Address
THEA R SHAW PT
100 EMANCIPATION DR
HAMPTON, VA 23667-6249
Phone number: 757-722-9961
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Mailing Address
THEA R SHAW PT
100 EMANCIPATION DR
HAMPTON, VA 23667-0001
Phone number: 757-227-9961
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