Most Relevant Information
Provider Data
| NPI Number: | 1003579038 |
| Provider Name: | KRISTINA SHAW |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/17/2021 |
| Last Updated: | 06/11/2024 |
Provider Practice Location
1840 TOWNE PARK DR
TROY
OH
453738365
Practice Location Phone/Fax
| Phone: | 9375522487 |
| Fax: |
Provider Mailing Location
1840 TOWNE PARK DR
TROY
OH
453738365
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |