NPI 1053029801

Claude Goodman Shaw, PTA

Practitioner Physical Therapy Assistant Charlotte, NC

Practice location

Address: 5800 Old Providence Rd, Charlotte, NC 28226-6872
Phone: (704) 365-8551
Fax: (704) 365-8505
Mailing address: 6624 Brookmeade Dr, Charlotte, NC 28226-7724

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence A2534 (NC)

Other Physical Therapy Assistant providers in North Carolina →

Registry record

NPI: 1053029801
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Nov 2022
Record last updated: 10 Nov 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.