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Individual

JUDITH A. HARRISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.T.

Contact information

Practice address
1370 N. FAIRFIELD, BEAVERCREEK, OH 45431
(937) 478-4210
(937) 320-0069
Mailing address
PO BOX 140, ALPHA, OH 45301-0140
(440) 777-6017
(440) 777-6940

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.002214
OH

Other

Enumeration date
04/02/2007
Last updated
07/08/2007
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