IndividualActive
Brooke Shaw, COTA/L
NPI 1053702852 · Rehabilitation Clinic/Center · Easton, PA
Provider details
- NPI number
- 1053702852
- Entity type
- Individual
- Primary specialty
- Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Credential
- COTA/L
- Sex
- Female
- Sole proprietor
- Yes
- License
- OTA0000001752 (TN)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
2222 Sullivan Trl
Easton, PA 18040-7958
Phone: (610) 991-2034
Approximate (ZIP-level) locationGet directions
Mailing address
3879 Bill Jones Rd
Apison, TN 37302-9749
Registry dates
- Enumerated
- 2015-02-15
- Last updated
- 2015-02-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.