Individual
JENNIFER HARLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
201 WOOD ST, SISTERSVILLE, WV 26175-1523
(304) 652-1032
Mailing address
PO BOX 77, HANNIBAL, OH 43931-0077
(740) 864-2010
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1237
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GEA40426823
BS PLAN
WV
Enumeration date
03/19/2007
Last updated
07/08/2007
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