Reginald Lasalle Harry, COTA/L

NPI #1124684477 in Ridgeway, South Carolina

Provider Information

NPI Number: 1124684477
Entity Type: Individual
Name: Reginald Lasalle Harry, COTA/L
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapy Assistant
Credential: COTA/L
Enumeration Date: May 13, 2019
Last Updated: May 13, 2019

Practice Location

Address: 117 BELLFIELD RD
City: Ridgeway
State: South Carolina
ZIP Code: 29130-8261
Phone: (803) 337-2257

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapy Assistant	224Z00000X	Primary

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