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Individual

PATRICIA HARVISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3600 PURDY RD, HUNTINGDON, TN 38344-8052
(731) 267-0651
Mailing address
3600 PURDY RD, HUNTINGDON, TN 38344-8052

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
767
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
767
STATE OF TENESSEE DIVISION OF HEALTH RELATED BOARDS
TN
Enumeration date
08/07/2013
Last updated
08/07/2013
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