Individual
SHIRLEY HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
324 SKYRIDGE DR, FAIRBANKS, AK 99712-1205
(907) 479-4911
(907) 374-4934
Mailing address
3550 AIRPORT WAY, FAIRBANKS, AK 99709-4760
(907) 374-0884
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
760
AK
Other
Enumeration date
10/22/2008
Last updated
06/04/2009
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