Individual
MS. JAINEICIA MARIE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
15400 FOOTHILL BLVD, SAN LEANDRO, CA 94578-1009
(510) 895-4518
Mailing address
131 EMBARCADERO W, #3203, OAKLAND, CA 94607-3777
(510) 691-9101
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
11230
CA
Other
Enumeration date
03/15/2011
Last updated
03/15/2011
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