Individual
LISA HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
330 MISSION ROAD, GLENDALE, CA 91205
(818) 247-4476
Mailing address
10756 BLIX ST, APT 209, NORTH HOLLYWOOD, CA 91602-1367
(616) 915-6133
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2072
CA
Other
Enumeration date
01/14/2015
Last updated
01/14/2015
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