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Individual

EILEEN HARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
401 LOCUST ST, 2A, CORAOPOLIS, PA 15108-3954
(412) 299-0704
(412) 299-0716
Mailing address
401 LOCUST ST, 2A, CORAOPOLIS, PA 15108-3954
(412) 299-0704
(412) 299-0716

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC004196L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01611290
PA
01
153387
HEALTHAMERICA
PA
Enumeration date
02/07/2007
Last updated
07/08/2007
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