Individual
MRS. TRACEY HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
801 GREENHAVEN DR, GREENSBORO, NC 27406-7103
(336) 851-9312
Mailing address
2617 SIR WALTER RD, GREENSBORO, NC 27405-5453
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3400
NC
Other
Enumeration date
05/19/2008
Last updated
05/19/2008
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