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Individual

AANISE HARRISON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
1323 SPALDING FOREST CT, ATLANTA, GA 30328-5714
(510) 467-3656
Mailing address
207 MONTEREY RD APT 5, PACIFICA, CA 94044-1373
(510) 467-3656

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
124641
TX
225X00000X
Occupational Therapist
22099
CA
225X00000X
Occupational Therapist
Primary
OT008180
GA

Other

Enumeration date
03/01/2021
Last updated
06/19/2024
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