DANIEL D SHAW

NAMPA, ID
NPI1649260654
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  PT1065)
Enumeration Date2005-10-21
Last Update Date2010-02-08
Business Address
DANIEL D SHAW PT
290 W GEORGIA AVE
NAMPA, ID 83686-2835
Phone number: 208-468-5970
Mailing Address
DANIEL D SHAW PT
217 W GEORGIA AVE STE 115
NAMPA, ID 83686-6811
Phone number: 208-463-3291
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