Individual
MR. RALPH EDWARD HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1601 SW ARCHER RD, GAINESVILLE, FL 32608-1135
(352) 416-0350
Mailing address
1601 SW ARCHER RD, GAINESVILLE, FL 32608-1135
(352) 416-0350
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT3105
FL
225XM0800X
Mental Health Occupational Therapist
Primary
OT3105
FL
Other
Enumeration date
12/04/2013
Last updated
12/04/2013
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