Individual
MRS. NITA NICOLE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
4517 SOUTHLAKE PKWY, HOOVER, AL 35244
(205) 985-4111
(205) 267-4411
Mailing address
4517 SOUTHLAKE PKWY, HOOVER, AL 35244
(205) 985-4111
(205) 985-4326
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1156
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000000
—
AL
01
—
28209
BCBS OF ALABAMA
AL
05
—
G715
—
AL
Enumeration date
05/05/2006
Last updated
06/05/2023
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