Individual
AMBER JOY HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
500 HOSPITAL DR, CRESTVIEW, FL 32539-7355
(850) 689-3146
Mailing address
1619 N PEARL ST, CRESTVIEW, FL 32536-2347
(850) 295-2670
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-13914
FL
Other
Enumeration date
05/18/2017
Last updated
05/18/2017
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