Individual
MRS. ENJOLI A HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
850 PAPER MILL RD, GLENSIDE, PA 19038-7833
(215) 402-8833
(215) 836-4962
Mailing address
7621 WOOLSTON AVE, PHILADELPHIA, PA 19150-2612
(267) 240-6752
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC011956
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OC011956
OCCUPATIONAL THERAPY LICENSE
PA
Enumeration date
09/26/2012
Last updated
09/26/2012
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