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Individual

MS. EMILY ANNE HARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTAL

Contact information

Practice address
7540 N 19TH AVE, #200, PHOENIX, AZ 85021-7967
(888) 873-4221
Mailing address
1718 N FORT VALLEY RD, #108, FLAGSTAFF, AZ 86001-1290
(330) 715-5402

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3690
AZ
224Z00000X
Occupational Therapy Assistant
OTA-3369
OH

Other

Enumeration date
07/03/2007
Last updated
07/08/2007
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