Individual
ALICIA ANN HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
950 SWEET BIRCH WAY, CUMMING, GA 30040-1006
(404) 358-1925
Mailing address
950 SWEET BIRCH WAY, CUMMING, GA 30040-1006
(404) 358-1925
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT004278
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103089875
—
GA
Enumeration date
06/11/2007
Last updated
05/03/2016
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