Individual
MR. SHANNON BRUCE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
9665 WILSHIRE BLVD, #222, BEVERLY HILLS, CA 90212-2340
(310) 247-8414
(310) 247-9414
Mailing address
9665 WILSHIRE BLVD, #222, BEVERLY HILLS, CA 90212-2340
(310) 247-8414
(310) 247-9414
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT 24206
CA
Other
Enumeration date
11/16/2010
Last updated
11/16/2010
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