Individual
MONA L. HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
4 ARNOLD MALL, ARNOLD, MO 63010-2223
(636) 282-0125
Mailing address
5054 BOONE TRL, HILLSBORO, MO 63050-3548
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2000160900
MO
Other
Enumeration date
08/09/2010
Last updated
08/09/2010
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