Individual
JAZMINE CHANELL HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
310 BANBURY RD, NORTH AURORA, IL 60542-1260
(630) 892-7627
Mailing address
9B KINGERY QUARTER APT 207, WILLOWBROOK, IL 60527-6569
(630) 854-1297
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
11/30/2018
Last updated
12/12/2018
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