Individual
SELENA BRIANNA HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, MS, OTR/L
Contact information
Practice address
6035 PEACHTREE RD STE C120, DORAVILLE, GA 30360-3234
(678) 514-3270
(404) 692-5581
Mailing address
205 WEDGEWOOD CT, STOCKBRIDGE, GA 30281-6528
(678) 544-0695
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT009220
GA
Other
Enumeration date
07/19/2024
Last updated
07/19/2024
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