Individual
ZACHARIA JAKINTHA HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2101 HOMESTEAD HILLS DR, WINSTON SALEM, NC 27103-6445
(336) 659-0708
Mailing address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(610) 444-6350
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6117
NC
Other
Enumeration date
09/06/2007
Last updated
09/06/2007
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