Individual
DR. MADISON BROOKE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, MA, OTRL
Contact information
Practice address
300 UCLA MEDICAL PLZ STE 3300, LOS ANGELES, CA 90095-7004
(310) 825-0867
(310) 794-5760
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
17975
CA
225X00000X
Occupational Therapist
17975
CA
Other
Enumeration date
08/29/2018
Last updated
04/01/2020
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