Individual
MRS. HILDA HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. OTR/L
Contact information
Practice address
12276 SAN JOSE BLVD, STE. 508, JACKSONVILLE, FL 32223-8628
(904) 886-3228
(904) 886-3297
Mailing address
12276 SAN JOSE BLVD, STE. 508, JACKSONVILLE, FL 32223-8628
(904) 886-3228
(904) 886-3297
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT 11373
FL
225XP0200X
Pediatric Occupational Therapist
Primary
OT11373
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
889923100
—
FL
01
—
Z076A
BCBS
FL
Enumeration date
07/20/2006
Last updated
05/23/2008
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