Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 2006025819 | MO |
NPI | 1255423075 |
---|---|
Provider Name | Scott Gregory Harnden |
First Address | Chattanooga, TN 37421-2564 |
Second Address | Raytown, MO 64138-2384 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/09/2006 |
Last Update Date | 08/10/2018 |