Individual
BRENDA HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT/L
Contact information
Practice address
1204 FRYE ST, ATHENS, TN 37303-3052
(423) 745-0434
Mailing address
450 HARRIS PRICE LN, SPRING CITY, TN 37381-4473
(423) 309-5059
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
4096
TN
Other
Enumeration date
10/20/2014
Last updated
10/20/2014
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