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Organization
AUTONOMY PELVIC HEALTH
Active
Organization
AUTONOMY PELVIC HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUDRA LISA HARRIS MOT, OTR/L (OWNER)
(978) 855-9636
Entity
Organization
Contact information
Practice address
221 WEST ST APT 12, LEOMINSTER, MA 01453-6336
(978) 855-9636
Mailing address
221 WEST ST APT 12, LEOMINSTER, MA 01453-6336
(978) 855-9636
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
NULL
Other
Enumeration date
04/10/2023
Last updated
04/10/2023
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