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Individual

BETHANY NICOLE HARRISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTA/L

Contact information

Practice address
801 RIDGE PIKE, REHAB GYM, LAFAYETTE HILL, PA 19444-1744
(610) 825-6100
Mailing address
107 EAGLE STREAM DR APT 37, EAGLEVILLE, PA 19403-5065
(484) 744-5185

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
TOP008738
PA

Other

Enumeration date
05/06/2014
Last updated
05/06/2014
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