SearchMissouri224Z00000X

Michial Harris, COTA

NPI 1326355165 · on the registry since 2010 · sole proprietor

Practice

Address
2849 Boardwalk Ave
Lebanon, MO 65536
Phone
(417) 664-3598

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2010-08-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri