MS. Shanna Lorraine Bicknase, ATC

NPI #1023158458 in Fargo, North Dakota

Provider Information

NPI Number: 1023158458
Entity Type: Individual
Name: MS. Shanna Lorraine Bicknase, ATC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Credential: ATC
Enumeration Date: Feb 7, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1301 12TH AVE N
City: Fargo
State: North Dakota
ZIP Code: 58102-3400
Phone: (701) 231-8011

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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