Staci Harris
NPI #1245712900 in Philadelphia, Pennsylvania
Provider Information
- NPI Number
- 1245712900
- Entity Type
- Individual
- Name
- Staci Harris
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Early Intervention Provider Agency
- Enumeration Date
- Aug 29, 2018
- Last Updated
- Aug 29, 2018
Practice Location
- Address
- 2308 W MONTGOMERY AVE APT B
- City
- Philadelphia
- State
- Pennsylvania
- ZIP Code
- 19121-3021
- Phone
- (215) 519-9183
Specialties & Taxonomy Codes
| Specialty |
|---|
| Early Intervention Provider Agency |
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