Individual
MARCIA L HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 JEFFERSON BARRACKS DRIVE, SAINT LOUIS VETERANS AFFAIRS MEDICAL CENTER, SAINT LOUIS, MO 63125
(314) 862-4100
(314) 289-6581
Mailing address
1 JEFFERSON BARRACKS DRIVE, SAINT LOUIS VETERANS AFFAIRS MEDICAL CENTER, SAINT LOUIS, MO 63125
(314) 862-4100
(314) 289-6581
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5229
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5229
VISION REHABILITATION THERAPY CERTIFICATE
—
Enumeration date
09/23/2009
Last updated
09/23/2009
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