Individual
MR. JERRY HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1798 N GAREY AVE, POMONA, CA 91767-2918
(310) 384-8971
Mailing address
1798 N GAREY AVE, POMONA, CA 91767-2918
(310) 384-8971
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA6135
CA
Other
Enumeration date
04/06/2020
Last updated
04/06/2020
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