Individual
JOSEPH HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1440 168TH AVE, SAN LEANDRO, CA 94578-2409
(510) 481-8575
Mailing address
1440 168TH AVE, SAN LEANDRO, CA 94578
(510) 504-9533
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT15107
CA
Other
Enumeration date
12/30/2015
Last updated
12/30/2015
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