Healthcare Provider Details

I. General information

NPI: 1801505987
Provider Name (Legal Business Name): CHRISTIAN ROBINSON HARRIS OTR/L
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/17/2022
Last Update Date: 11/17/2022
Certification Date: 11/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 7TH AVE S
BIRMINGHAM AL
35233-1711
US

IV. Provider business mailing address

729 14TH AVE NW
CENTER POINT AL
35215-5973
US

V. Phone/Fax

Practice location:
  • Phone: 205-638-5162
  • Fax: 205-638-6067
Mailing address:
  • Phone: 205-492-8455
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number5758
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: