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Individual

POLLYANNA HARLAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MOT, OTR/L

Contact information

Practice address
96 W MAIN ST, SUITE B, WOODLAND, CA 95695-3016
(530) 668-1010
Mailing address
205 W EL DORADO DR, WOODLAND, CA 95695-5206
(530) 666-4322

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
9292
CA

Other

Enumeration date
04/01/2009
Last updated
04/01/2009
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