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Individual

LAUREN HARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
010055
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
010055
CONNECTICUT LICENSE
CT
Enumeration date
04/09/2014
Last updated
12/20/2017
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