Individual
MR. DONALD TERRANCE HARRIS
Active
Individual
MR. DONALD TERRANCE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
562
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0168676
WAWC
MT
05
—
0341615
—
MT
01
—
841391220009
EBMS
MT
01
—
MSF0522979
MT STATE FUND
MT
Enumeration date
12/19/2006
Last updated
12/28/2007
Update your record
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