MEDICARE: CAMERON 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	225X00000X	Occupational Therapist	124583	TX
2	225X00000X	Occupational Therapist	15498	NC

General Provider Information

NPI Number	:	1578412706
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAMERON HARRIS

Provider Business Mailing Address
First Line	:	238 SPRING LAKE CT
Second Line	:
City	:	LEXINGTON
State	:	NC
Zip	:	27295-5813
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	238 SPRING LAKE CT
Second Line	:
City	:	LEXINGTON
State	:	NC
Zip	:	27295-5813
Country	:	US
Telephone Number	:	336-703-7154
Fax Number	:

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

Provider Enumeration Date	:	01/22/2026
Last Update Date	:	01/22/2026

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Directions to “ CAMERON HARRIS ” Practice Location

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