Individual
MR. SHAWN ALVACUS HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
7810 LEWIS RD, LAKELAND, FL 33810-2140
(863) 859-2711
(863) 859-2711
Mailing address
7810 LEWIS RD, LAKELAND, FL 33810-2140
(863) 859-2711
(863) 859-2711
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT 20550
FL
2251G0304X
Geriatric Physical Therapist
Primary
PT 20550
FL
Other
Enumeration date
01/12/2010
Last updated
01/27/2010
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