Individual
MRS. LISA L HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
901 HALSTEAD BLVD, ELIZABETH CITY, NC 27909-6920
(252) 338-0137
(252) 338-4512
Mailing address
208 HOLLY DR, CAMDEN, NC 27921-6976
(252) 338-0137
(252) 338-4512
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2358
NC
Other
Enumeration date
04/24/2008
Last updated
04/24/2008
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