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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. BROOKE SHAW, COTA/L

Active Sole Proprietor

MRS. BROOKE SHAW, COTA/L is a Rehabilitation Clinic healthcare provider located in EASTON, Pennsylvania. NPI 1053702852 is currently active in the NPPES registry. Verify at CMS.

Rehabilitation Clinic · EASTON, PA

Registration Details

NPI Number
1053702852
Provider Type
Individual
Gender
Female
NPI Issued
Feb 15, 2015 (11.528060307797 yrs)
Last Updated
Feb 15, 2015
License
OTA0000001752 (TN)
Sole Proprietor
Yes

Practice Information

Address
2222 SULLIVAN TRL
EASTON, PA, 180407958
Browse PA providers · Browse ZIP 18040
Phone
6109912034
Primary Specialty
Rehabilitation Clinic
261QR0400X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.