Shirley Harris, LPTA

NPI #1043462062 in Fairbanks, Alaska

Provider Information

NPI Number: 1043462062
Entity Type: Individual
Name: Shirley Harris, LPTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: LPTA
Enumeration Date: Oct 22, 2008
Last Updated: Jun 4, 2009

Practice Location

Address: 324 SKYRIDGE DR
City: Fairbanks
State: Alaska
ZIP Code: 99712-1205
Phone: (907) 479-4911

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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