MEDICARE: MS. RESHEKA HARMON

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	22525	FL

General Provider Information

NPI Number	:	1639821341
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. RESHEKA HARMON

Provider Business Mailing Address
First Line	:	2600 COMPASS RD
Second Line	:
City	:	GLENVIEW
State	:	IL
Zip	:	60026-8001
Country	:	US
Telephone Number	:	877-787-3430
Fax Number	:

Provider Business Practice Location Address
First Line	:	51 W SAMPLE RD
Second Line	:
City	:	DEERFIELD BEACH
State	:	FL
Zip	:	33064-3542
Country	:	US
Telephone Number	:	954-942-5530
Fax Number	:

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

Provider Enumeration Date	:	01/24/2022
Last Update Date	:	01/24/2022

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