Individual
COURTNEY HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
2351 MENDOCINO AVE, SANTA ROSA, CA 95403-3114
(707) 301-7309
Mailing address
PO BOX 627, FORESTVILLE, CA 95436-0627
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
11317
CA
Other
Enumeration date
05/29/2017
Last updated
05/29/2017
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