| NPI | 1992279939 |
|---|---|
| Other Name | KERIANN SHAW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH9782) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KS 11-05948) |
| Enumeration Date | 2019-01-13 |
| Last Update Date | 2024-02-05 |