Individual
DANA L HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2562 FAIRBURN RD STE D20, DOUGLASVILLE, GA 30135-1465
(770) 577-0399
Mailing address
PO BOX 829, MABLETON, GA 30126-0829
(678) 637-7812
(678) 574-2718
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
001309
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000683812C
—
GA
Enumeration date
11/30/2006
Last updated
05/11/2020
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