| Doctor Name: | MR. ADAM SHAW |
| NPI Number: | 1073734331 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | PT21622 |
| Business Practice Address: | 8945 W Colonial Dr Ocoee, FL - 347616918 |
| Business Phone Number: | 4078227506 |
| Business Fax Number: | |
| Mailing Address: | 33 W 1st St, APOPKA |
| State: | FL |
| Postal Code: | 327034223 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 05/02/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251S0007X |
| License Number: | PT21622 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | FL |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Sports |
| Taxonomy Definition: | |