Individual
AMANDA MARIE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR, CDP
Contact information
Practice address
151 MADISON AVE, MORRISTOWN, NJ 07960-6016
(973) 656-2700
Mailing address
151 MADISON AVE, MORRISTOWN, NJ 07960-6016
(973) 626-2700
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00777200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OTR46TR00777200
OT LICENSURE NUMBER
NJ
Enumeration date
03/18/2020
Last updated
03/18/2020
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