Individual
SHANNON M HARDEGREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
705 17TH ST STE 208, COLUMBUS, GA 31901-3506
(706) 327-0189
Mailing address
809 EDEN ST, COLUMBUS, GA 31904-1571
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
GA
Other
Enumeration date
05/10/2007
Last updated
07/08/2007
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