Individual
COLLEEN GLORIA HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
401 E MAIN ST, JOHNSON CITY, TN 37601-4877
(423) 232-2866
Mailing address
401 E MAIN ST, JOHNSON CITY, TN 37601-4877
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT0000003690
TN
Other
Enumeration date
01/17/2007
Last updated
07/08/2007
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