Organization
HARRIS AND LEIBERT GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTI HARRIS OTR/L (PARTNER/OWNER)
(707) 542-5558
Entity
Organization
Contact information
Practice address
1500 LEONARD AVE, SANTA ROSA, CA 95405-4521
(707) 542-5558
Mailing address
1500 LEONARD AVE, SANTA ROSA, CA 95405-4521
(707) 542-5558
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT4805
CA
Other
Enumeration date
08/06/2007
Last updated
08/06/2007
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