IndividualActive
Andrea Shaw
NPI 1275929283 · Pediatric Occupational Therapist · Gloucester, MA
Provider details
- NPI number
- 1275929283
- Entity type
- Individual
- Primary specialty
- Pediatric Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 11505 (MA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
18 Western Ave
Gloucester, MA 01930-3665
Phone: (802) 779-4606
Approximate (ZIP-level) locationGet directions
Mailing address
18 Western Ave
Gloucester, MA 01930-3665
Registry dates
- Enumerated
- 2015-04-07
- Last updated
- 2016-08-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.