Individual
MRS. AYESHA M HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L, CAPS
Contact information
Practice address
13521 STONE POND DR, JACKSONVILLE, FL 32224-1626
(904) 800-9874
Mailing address
PO BOX 17391, JACKSONVILLE, FL 32245-7391
(904) 800-9874
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
224ZE0001X
Environmental Modification Occupational Therapy Assistant
Primary
OTA13216
FL
224ZL0004X
Low Vision Occupational Therapy Assistant
—
—
224ZR0403X
Driving and Community Mobility Occupational Therapy Assistant
—
—
Other
Enumeration date
12/08/2019
Last updated
12/08/2019
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