Individual
AVA KRISTEN HARMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
83 AIRWAYS PL, SOUTHAVEN, MS 38671-5885
(662) 349-8787
(662) 349-8757
Mailing address
4160 WINDERMERE DR., NESBIT, MS 38651
(901) 846-6261
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT2698
MS
Other
Enumeration date
06/13/2012
Last updated
04/16/2014
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