Provider Demographics
NPI:1306039912
Name:SHAW, CATHERINE MERRITT (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:MERRITT
Last Name:SHAW
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:314 WHITING CT
Mailing Address - Street 2:SUITE 1-C
Mailing Address - City:DAPHNE
Mailing Address - State:AL
Mailing Address - Zip Code:36526-4616
Mailing Address - Country:US
Mailing Address - Phone:251-340-0688
Mailing Address - Fax:251-340-0850
Practice Address - Street 1:100 MEMORIAL HOSPITAL DR
Practice Address - Street 2:SUITE 1-C
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36608-1183
Practice Address - Country:US
Practice Address - Phone:251-340-0688
Practice Address - Fax:251-340-0850
Is Sole Proprietor?:No
Enumeration Date:2007-08-27
Last Update Date:2016-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2546225XP0019X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation