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Individual
MR. MICHAEL SHAWN O'HARA
Active
Individual
MR. MICHAEL SHAWN O'HARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501002919
MI
2251X0800X
Orthopedic Physical Therapist
5501002919
MI
Other
Enumeration date
06/09/2006
Last updated
03/19/2008
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