Individual
KELLY M HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7858 SHRADER RD, RICHMOND, VA 23294-4222
(804) 270-1305
(804) 273-9294
Mailing address
7858 SHRADER RD, RICHMOND, VA 23294-4222
(804) 270-1305
(804) 273-9294
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
0119000421
VA
Other
Enumeration date
10/02/2009
Last updated
10/02/2009
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