Individual
DANIEL HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
212 W BIRCH AVE, COLVILLE, WA 99114-2440
(509) 684-5621
(509) 684-7943
Mailing address
212 W BIRCH AVE, COLVILLE, WA 99114-2440
(509) 684-5621
(509) 684-7943
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P160559983
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2091008
—
WA
Enumeration date
09/14/2018
Last updated
09/14/2018
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