Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | 2106 | AL |
Y | 225X00000X | Occupational Therapist | OT003216 | GA |
N | 225XH1200X | Occupational Therapist - Hand | 2106 | AL |
NPI | 1144388943 |
---|---|
Provider Name | Mrs. Karen E. Harris |
First Address | Savannah, GA 31405-3637 |
Second Address | Savannah, GA 31405-3637 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/12/2006 |
Last Update Date | 03/07/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
002106 | OCCUPATIONAL THERAPY LICE (01) | AL |