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1740431915
KELLY SHAW
KINGSTON, PA
NPI
1740431915
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2251G0304X Physical Therapist, Geriatrics
(Licence: PA PT011691L)
Enumeration Date
2008-10-07
Last Update Date
2008-10-07
Business Address
-- KELLY SHAW DPT
200 2ND AVE
KINGSTON, PA 18704-5722
Phone number: 570-288-9315
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Mailing Address
-- KELLY SHAW DPT
200 2ND AVE
KINGSTON, PA 18704-5722
Phone number: 570-288-9315
Copy
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