SHANNON STACEY HARMON

MONTELLO, WI
NPI1396966560
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WI  87-019)
Enumeration Date2007-05-02
Last Update Date2007-07-08
Business Address
-- SHANNON STACEY HARMON PTA
251 FOREST LANE
MONTELLO, WI 53949
Phone number: 608-297-2153
Mailing Address
-- SHANNON STACEY HARMON PTA
N1250 34TH ROAD
BERLIN, WI 54923
Phone number:
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