Individual
MICHAY HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
11040 172ND ST, JAMAICA, NY 11433-3437
(917) 226-7106
Mailing address
11040 172ND ST, JAMAICA, NY 11433-3437
(917) 226-7106
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
008543-1
NY
252Y00000X
Early Intervention Provider Agency
008543-1
NY
Other
Enumeration date
10/09/2014
Last updated
03/14/2018
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