Individual
MRS. KRISTEN EMMA HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.O.T.A.
Contact information
Practice address
46149 HECKER DR, UTICA, MI 48317-5762
(586) 925-3193
Mailing address
46149 HECKER DR, UTICA, MI 48317-5762
(586) 925-3193
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
L2072198
MI
Other
Enumeration date
01/23/2013
Last updated
01/23/2013
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