Individual
MRS. MISHKA J HARMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1624 MAIN ST, COLUMBIA, SC 29201-2818
(803) 454-0365
(803) 404-6406
Mailing address
109 HARMON POND CIR, GILBERT, SC 29054-9052
(803) 917-4677
(803) 404-6406
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1323
SC
Other
Enumeration date
03/08/2016
Last updated
03/08/2016
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