Individual
SHAWNA MICHELLE HARDISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1321 CEDAR LN, TULLAHOMA, TN 37388-2227
(931) 222-4207
Mailing address
1321 CEDAR LN, TULLAHOMA, TN 37388-2227
(615) 739-3003
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3912
TN
Other
Enumeration date
09/27/2024
Last updated
09/27/2024
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