Individual
MS. SHANNON MARIE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
107 6TH AVE SW, RONAN, MT 59864-2634
(406) 676-4441
Mailing address
40942 BULL PINE RD, POLSON, MT 59860-8069
(406) 890-1976
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1086
MT
225X00000X
Occupational Therapist
OT 60068500
WA
Other
Enumeration date
12/31/2009
Last updated
09/25/2016
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