Individual
KELSEY JEAN HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
208 ZACHERY DR, MOUNT VERNON, IL 62864-6712
(618) 204-5497
Mailing address
GREENTREE AT MT. VERNON, 208 ZACHERY STREET, MT. VERNON, IL 62864
(618) 204-5497
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.002730
IL
Other
Enumeration date
10/23/2019
Last updated
10/23/2019
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