Individual
MARIA J HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
172 COBBLESTONE LN, BURNSVILLE, MN 55337-4578
(763) 201-8191
Mailing address
9645 GROVE CIR N STE 200, MAPLE GROVE, MN 55369-2684
(763) 201-8191
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
102291
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1089018
AMERICAS PPO/ARAZ
MN
01
—
167565F703
UCARE
MN
01
—
509491028653
PREFERRED ONE INS
MN
01
—
51D56HA
BCBS OF MN
MN
01
—
6401989
MEDICA PRIMARY
MN
01
—
6401990
MEDICA CHOICE/ SELECT CAR
MN
01
—
A004
TRICARE
MN
01
—
HP48922
HEALTH PARTNERS
MN
Enumeration date
07/20/2006
Last updated
05/13/2021
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