Individual
LAURA L HARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
807 W LONGHORN RD, PAYSON, AZ 85541-4263
(928) 474-1120
Mailing address
PO BOX 1009, TONTO BASIN, AZ 85553-1009
(928) 978-7118
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5019
AZ
Other
Enumeration date
02/27/2012
Last updated
02/27/2012
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