CORISSA DAWN SHAW

HUTCHINSON, KS
NPI1821468646
Former NameCORISSA DAWN TREJO, LAHMAN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: KS  1402891)
Enumeration Date2015-10-06
Last Update Date2015-10-06
Business Address
-- CORISSA DAWN SHAW PTA
414 E 8TH AVE
HUTCHINSON, KS 67501-1426
Phone number: 620-663-5932
Mailing Address
-- CORISSA DAWN SHAW PTA
414 E 8TH AVE
HUTCHINSON, KS 67501-1426
Phone number: 620-663-5932
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