MEDICARE: ROSEMARIE HARRIS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	224P00000X	Prosthetist

General Provider Information

NPI Number	:	1417577552
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSEMARIE HARRIS

Provider Business Mailing Address
First Line	:	8280 PENNSYLVANIA AVE
Second Line	:
City	:	NORTH HUNTINGDON
State	:	PA
Zip	:	15642-2717
Country	:	US
Telephone Number	:	724-864-6000
Fax Number	:

Provider Business Practice Location Address
First Line	:	8280 PENNSYLVANIA AVE
Second Line	:
City	:	NORTH HUNTINGDON
State	:	PA
Zip	:	15642-2717
Country	:	US
Telephone Number	:	724-864-6000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/18/2020
Last Update Date	:	04/18/2020

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Directions to “ ROSEMARIE HARRIS ” Practice Location

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