Kerry Lynn Harris, COTA
Individual provider Active NPI Occupational Therapy Assistant · Kane, PA
NPI 1043336449 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1043336449
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- OP001063L (PA)
- Practice address
- 100 High Point Dr
Kane, PA 16735-9704 - Phone
- (814) 837-6706
- Fax
- (814) 837-9205
- NPI assigned
- Mar 21, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OP001063L | PA | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | OP001063L | PA | Yes |
Addresses
Primary practice location
100 High Point Dr
Kane, PA 16735-9704
Mailing address
1764 Treasure LK
Du Bois, PA 15801-9047
Phone (814) 375-9263
Other providers in Kane, PA
- Connie Gasbarre
- Kelly Gerg-Timm
- Elizabeth Cleland Greville
- Tommy Dean Hammerbeck Jr.
- Dennis Ray Harris
- Heal Ehealth PLLC
- Libby Ann Herbstritt
- Karen Hickey
- Aaron Hinton
- Kelly Hosack
All providers in Kane, PA · Occupational Therapy Assistant in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.