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NPI Code Detail

MEDICARE: DR. NANCY L. HARRISON DPT

MEDICARE: DR. NANCY L. HARRISON 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 Therapist6968AZ

General Provider Information

NPI Number : 1407017478
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NANCY L. HARRISON DPT
Provider Business Mailing Address
First Line : 505 JACKS CANYON RD
Second Line :
City : SEDONA
State : AZ
Zip : 86351-7856
Country : US
Telephone Number : 928-284-1000
Fax Number : 928-284-2439
Provider Business Practice Location Address
First Line : 505 JACKS CANYON RD
Second Line :
City : SEDONA
State : AZ
Zip : 86351-7856
Country : US
Telephone Number : 928-284-1000
Fax Number : 928-284-2439
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2008
Last Update Date : 06/22/2008

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