# AUTONOMY PELVIC HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073208559
- **Authorized official:** AUDRA LISA HARRIS MOT, OTR/L (OWNER)
- **Authorized official phone:** (978) 855-9636

## Contact information

- **Practice address:** 221 WEST ST APT 12, LEOMINSTER, MA 01453-6336
- **Practice address phone:** (978) 855-9636
- **Mailing address:** 221 WEST ST APT 12, LEOMINSTER, MA 01453-6336
- **Mailing address phone:** (978) 855-9636

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/10/2023
- **Last updated:** 04/10/2023