Individual
LINDA KAY HARMON-PROVOST
Active
Individual
LINDA KAY HARMON-PROVOST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT3258
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3258
OREGON PT LICENSE
OR
05
—
PENDING
—
OR
Enumeration date
11/19/2009
Last updated
11/19/2009
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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