Individual
HANNAH ELIZABETH HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 N PARKSIDE RD, NORMAL, IL 61761-2780
(309) 557-4402
Mailing address
1059 RIVERWOOD PLACE DR, FLORISSANT, MO 63031-8507
(314) 630-5583
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/21/2018
Last updated
05/21/2018
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