Individual
CEYONNE S HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
901 RIDGE RD, ROXBORO, NC 27573-4511
(336) 599-0106
Mailing address
586 S SQUARE DR APT 3, WINTERVILLE, NC 28590-7072
(252) 569-8657
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
12500
NC
Other
Enumeration date
06/07/2019
Last updated
06/07/2019
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