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NPI Code Detail

MEDICARE: LUCIA HARRIS OT

MEDICARE: LUCIA HARRIS OT
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
1225X00000XOccupational Therapist

General Provider Information

NPI Number : 1932237625
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUCIA HARRIS OT
Provider Business Mailing Address
First Line : 2222 SULLIVAN TRL
Second Line :
City : EASTON
State : PA
Zip : 18040-7958
Country : US
Telephone Number : 610-991-2034
Fax Number : 610-438-2046
Provider Business Practice Location Address
First Line : 3500 MEEKINS DR
Second Line :
City : FREDERICKSBURG
State : VA
Zip : 22407-4894
Country : US
Telephone Number : 610-991-2034
Fax Number : 610-438-2046
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2007
Last Update Date : 07/09/2007

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