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NPI Code Detail

MEDICARE: LOREN GRACE HARRIS DPT

MEDICARE: LOREN GRACE HARRIS DPT
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
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1376367193
Entity Type Code : Individual
Provider Name (Legal Business Name) : LOREN GRACE HARRIS DPT
Provider Business Mailing Address
First Line : 2515 E GLENN AVE STE 104
Second Line :
City : AUBURN
State : AL
Zip : 36830-6448
Country : US
Telephone Number : 334-821-2256
Fax Number :
Provider Business Practice Location Address
First Line : 2515 E GLENN AVE STE 104
Second Line :
City : AUBURN
State : AL
Zip : 36830-6448
Country : US
Telephone Number : 334-821-2256
Fax Number : 334-826-8082
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2024
Last Update Date : 11/08/2024

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Directions to “ LOREN GRACE HARRIS DPT” Practice Location

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