Individual
DESTINEY RAE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT
Contact information
Practice address
5625 PEARL DR STE 100, EVANSVILLE, IN 47712-8106
(812) 759-7493
(812) 401-2346
Mailing address
PO BOX 5629, EVANSVILLE, IN 47716-5629
(812) 759-7475
(812) 401-3259
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
02/28/2019
Last updated
02/28/2019
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