Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224P00000X | Prosthetist |
NPI | 1417577552 |
---|---|
Provider Name | Rosemarie Harris |
First Address | North Huntingdon, PA 15642-2717 |
Second Address | North Huntingdon, PA 15642-2717 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/04/2020 |
Last Update Date | 18/04/2020 |