Individual
MR. CHRISTOPHER S HARBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTRL
Contact information
Practice address
3701 12TH ST NORTH, SUITE 100, ST CLOUD, MN 56303
(320) 253-7257
(320) 251-2938
Mailing address
3701 12TH ST NORTH, SUITE 100, ST CLOUD, MN 56303
(320) 253-7257
(320) 251-2938
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
100368
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1027606
P ONE
—
01
—
55B12HA
BCBS
—
01
—
6401838
MEDICA
—
01
—
670000090
METRAHEALTH MPIN
—
01
—
P00064404
RAILROAD MEDICARE
—
Enumeration date
07/05/2006
Last updated
02/13/2008
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