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Lisa M Harrison

Occupational Therapy Assistant in Palm Coast, FL. Individual provider (NPI-1).

NPI number1164020095
StatusActive
Last updated in NPPESOct 13, 2020

Details

NPI
1164020095
Entity type
Individual (NPI-1)
Name
Lisa M Harrison
Sex
Female
Sole proprietor
No
Enumeration date
Oct 13, 2020
Certification date
Oct 13, 2020
Last updated
Oct 13, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
224Z00000X Occupational Therapy AssistantOTA15358FLYes
224Z00000X Occupational Therapy AssistantOTA046825AZ
224Z00000X Occupational Therapy AssistantOTA3726MS
224Z00000X Occupational Therapy AssistantOTA4227NM
224Z00000X Occupational Therapy Assistant46TA09186500NJ
224Z00000X Occupational Therapy Assistant214087TX
224Z00000X Occupational Therapy Assistant4394AL

Practice location

83 Pepperdine Dr
Palm Coast, FL 32164-7498

Phone 386-793-3159

Mailing address

Po Box 353842
Palm Coast, FL 32135-3842

Phone 386-793-3159

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Other Occupational Therapy Assistant providers in Palm Coast, FL

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