National Provider Identifier
Paw Ta Shue
Paw Ta Shue is listed in the NPPES registry with a primary specialty of Pediatric Occupational Therapist in Ithaca, NY and a listed phone number of (607) 227-4421.
Profile Overview
- NPI
- 1700758497
- Provider Type
- Individual
- Primary Specialty
- Pediatric Occupational Therapist
- Enumeration Date
- September 22, 2025
- Last Updated
- September 22, 2025
Practice Location
- 2415 N Triphammer RD Ste 11
- Ithaca, NY 14850-1093
Phone: (607) 227-4421
Specialties
- Pediatric Occupational Therapist (225XP0200X)
Full Record
- NPI
- 1700758497
- Entity Type
- Individual
- Last Name
- Shue
- First Name
- Paw
- Middle Name
- Ta
- Mailing Street Address
- 2415 N Triphammer RD Ste 11
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-1093
- Mailing Country
- US
- Mailing Phone
- (607) 227-4421
- Mailing Fax
- (607) 463-0602
- Practice Street Address
- 2415 N Triphammer RD Ste 11
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-1093
- Practice Country
- US
- Practice Phone
- (607) 227-4421
- Practice Fax
- (607) 463-0602
- Enumeration Date
- September 22, 2025
- Last Updated
- September 22, 2025
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- September 22, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatric Occupational Therapist (225XP0200X)