Individual
LATALIA LASHAYE HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7810 DOWNE DR, FORT WORTH, TX 76108-3230
(817) 448-1208
Mailing address
7810 DOWNE DR, FORT WORTH, TX 76108-3230
(817) 448-1208
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
215797
TX
Other
Enumeration date
11/28/2019
Last updated
11/28/2019
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