Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Andrea Shaw

Individual provider Pediatric Occupational Therapist · NPI 1275929283

Andrea Shaw is a Pediatric Occupational Therapist in Gloucester, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2015
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Practice location Address checks out

18 Western Ave
Gloucester, MA 01930-3665
Phone: (802) 779-4606
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X · Licence 11505 (MA)

Record details

NPI number1275929283
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 7, 2015
Last updated in NPPESAugust 23, 2016