Individual
DENISE HARMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1334 S HAM LN, LODI, CA 95242-3903
(209) 334-3825
Mailing address
14113 SARGENT AVE, GALT, CA 95632-8806
(209) 224-1704
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1067
CA
Other
Enumeration date
11/12/2021
Last updated
11/12/2021
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