Individual
JENNIFER LYNN HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
207 MARSHALL DR, PERRY, FL 32347-1835
(850) 584-6334
Mailing address
2111 HAGAN DR, TALLAHASSEE, FL 32303-4719
(850) 597-5742
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
418796
FL
Other
Enumeration date
06/03/2019
Last updated
06/03/2019
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