Individual
MICHAEL HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
6314 WILSON DR, PANORA, IA 50216
(641) 431-1038
Mailing address
6314 WILSON DR, PANORA, IA 50216
(641) 431-1038
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
100899
IA
Other
Enumeration date
01/31/2021
Last updated
01/31/2021
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