Individual
DANIELLE HARCOURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
215 E WASHINGTON ST, PONTIAC, IL 61764-2011
(815) 844-6131
Mailing address
25117 SW PARKWAY AVE STE D, WILSONVILLE, OR 97070-9697
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
11/02/2018
Last updated
11/02/2018
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