Individual
JACEY HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
9330 BROADWAY ST, SUITE 312, PEARLAND, TX 77584-7891
(713) 383-9700
Mailing address
9330 BROADWAY ST, SUITE 312, PEARLAND, TX 77584-7891
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
117883
TX
Other
Enumeration date
08/29/2016
Last updated
08/29/2016
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