Individual
TIMOTHY TERRELL HARRIS SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1488 FARRAGUT ST, NEW ORLEANS, LA 70114-2818
(504) 905-2345
Mailing address
1488 FARRAGUT ST, NEW ORLEANS, LA 70114-2818
(504) 905-2345
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A6483
LA
Other
Enumeration date
08/20/2007
Last updated
08/20/2007
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