Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | OT3353 | WA |
N | 2251E1200X | Ergonomics | OT3353 | WA |
N | 225XE1200X | Ergonomics | OT3353 | WA |
N | 225XH1200X | Occupational Therapist - Hand | OT3353 | WA |
NPI | 1538358791 |
---|---|
Provider Name | Mr. Jonathan Dennis Harrison |
First Address | Yakima, WA 98902-3221 |
Second Address | Yakima, WA 98902-3221 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/10/2007 |
Last Update Date | 23/10/2007 |