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Contact Information

JESSICA SHAW
920 S 4TH ST
LOUISVILLE, KY40203-3206
 Phone: 502-560-5164
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gerontology

225XG0600X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for JESSICA SHAW · (Female)

NPI Number 1386125847
Status Active
Credentials
Entity Individual
Enumeration date 08/23/2018
Last updated 08/23/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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