Individual
CALVIN HARRISON IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 N. WESTSHORE BLVD, SUITE 600, TAMPA, FL 33609
(813) 371-3412
Mailing address
600 N. WESTSHORE BLVD, SUITE 600, TAMPA, FL 33609
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
114876
TX
Other
Enumeration date
12/09/2014
Last updated
12/09/2014
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